Qualification-Analysis Request Form:
*
Name
Address
City
State/Zip
Please Select
Illinois
Oklahoma
South Carolina
Wisconsin
Phone
[ xxx-xxx-xxxx ]
* Email
[a confirmation email will be sent]
1)
What is the property value?
[Estimated]
2)
How much is to be financed
or the
current mortgage amount?
3)
What is the mortgage interest rate
4)
What is the term on your mortgage?
[Number of Years]
Please Select
15 Year
20 Year
30 Year
5)
What is your current payment?
[Principal & Interest]
6)
How much money do you deposit into your checking account monthly?
[Include all paychecks, rents, business income...all income]
7)
About how much of your net (take-home) pay do you have left over at the end of the month on average?
[this is after the bills have been paid]
8)
How long do you plan on staying in your home?
9)
Send Free Analysis Report by:
Please Select
Email
U.S.P.S.
Fax
Comments: