Request Information & Buyer Pre-Qualification

Please fill out the information below and click "Submit Request" when finished to request that someone from our sales department contact you. (Filling out the "Buyer Qualification" section is optional)
Borrower Co-Borrower
Name:
Address:
Phone:
Email:
Best Contact Method: at 
Type of Home:
Location of Home:
Where do you work?
How long in this position?
Total Monthly Gross Income $:
(or Weekly Gross x 4.3)
Credit Score:
Go here for your free credit report
Bankrupcy:  If yes, how long ago?   If yes, how long ago? 
Reposessions:  If yes, how long ago?   If yes, how long ago? 
Any Other Credit Problems?:

Monthly Expenses

Combined Monthly Expenses for Both Borrowers
Car Loan #1 $:
Car Loan #2 $:
Child Support $:
Child Care $:
School Loan $:
Credit Card #1 $:
Credit Card #2 $:
Credit Card #3 $:
Credit Card #4 $:
Other $:

Other Information

Downpayment $:  Source: 
Taxes $:  Homeowners Insurance $: 

Calculate Maximum Mortgage

"Calculate" to calculate the maximum mortgage you can afford.*
$
Comments:
* The calculation for the maximum mortgage amount is based on an intest rate of 5.125% for a first time homebuyer.