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Pre Qualification Form
Lease Purchase With Option To Buy
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* Indicates required question
Name First/Last
*
Your answer
Email Address
*
Your answer
Date
*
MM
/
DD
/
YYYY
Number of Adults (over 18)
*
1-2
3-4
4+
Number of Children
*
1-2
3-4
5+
Pets
Yes
No
Clear selection
Phone Number
*
Your answer
Preferred Area to live in
Your answer
Secondary Area to live in
Your answer
How soon are you ready to move into your new home?
*
Immediately
1-3 months
4+ months
How many bedrooms
2-3
4-5
6+
Clear selection
How many bathrooms
1-3
4+
Clear selection
Garage?
Yes
No
I don't know
Clear selection
What type of property are you looking for?
*
SFH
Condo
Town House
Duples/Triples
Mobile Home
Required
What is your Monthly Income?
*
$1,000- $2,000
$2,000- $4,000
$4,000+
What is the most you want to pay per month?
*
$1,000- $1,300
$1,400-$1,700
$1,800-$2,100
$2,200- 2,500
$2,600+
Do you have it now?
*
Yes
No
What is the most you want to pay as a down payment?
*
$2,000-$5,000
$6,000-$9,000
$10,000-$15,000
$16,000+
Do you have it now?
*
Yes
No
If not when will you have the down payment?
*
1-4 weeks
5-6 weeks
7+ weeks
I have it already
Do you currently own or rent?
*
Own
Rent
Why are you looking to move?
*
Your answer
How would you rate your credit score?
*
Great
Fair
Good
Poor
Are you qualified to buy now?
*
Yes
No
I don't know
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