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Confidential Prequalification Form

The first step in taking advantage of the amazing program is to provide some basic information about yourself here.   This Pre-qualification form will prepare us to discuss the program to meet your specific needs.  Please fill in all fields.  If you are confused or would rather speak to us in person, our phone numbers are at the bottom.
Annual Household Income: $
Name
Spouse's Name
Address
City
County
State Zip
Fax Number please include area code
Phone please include area code
Work Phone please include area code
Ok to call you at work? Yes   No
Email (important)
How you found us
Do you rent or own? Rent Own  
Monthly Rent or Mortgage $ If you own, what amount of equity to you have now: $
Current number of bedrooms
Current number of children
Do you own land? yes  no   If you do, is it paid for?
yes  no  
If you do, what is the land's value? $
What is your credit rating?
Have you had a bankruptcy? yes  no    If yes, how long ago
What kinds of work contribution would you bring to this project?

(example: painting skills, etc.)
Comments (enter as many as you like here.)


(after your form is sent, we'll review it and get back to you)

Or, feel free to call us!

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