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First Name*
Last Name*
In which area are you looking for a home?* Raleigh Fayetteville
Email*
Equal Housing Opportunity
Rent-to-Own Pre-qualification Analysis
Required fields are marked with an *
Applicant #1
* Name:
* Direct Phone Number (with area code):
* Direct e-mail address:
Best Time to Call:
* Approximate Monthly Income:
* Sources of that Income (for example, employer name, business or self-employment income, SSI, Retirement, etc.):
Applicant #2
Name:
Direct Phone Number (with area code):
Direct e-mail address:
Approximate Monthly Income:
Sources of that Income (for example, employer name, business or self-employment income, SSI, Retirement, etc.):
* How much money do you have available for a down payment?
* What is your budget for a monthly house payment?
*Which home(s) are you interested in?
* Including Applicant #1 & #2, how many people will be living in the home?
Where do you live now?
Address:
City:
State:
Zip:
* Current Rent Payment:
*Debts you owe:
(Car loans, credit cards, furniture store, jewelry stores, etc.)
Account Name / Purpose
Monthly Payment
1.
$
2.
3.
4.
5.
6.
7.
Please list any other debts:
Any other information you would like us to consider in your application: