Initial Questionnaire

Please Fill Out Our Initial Questionnaire

We would like to learn more about your situation and how we can help you. Please fill out this initial form to see how we can work together to achieve your goals.

Applicant's Full Name: *

Applicant's Current Address: *

What City do you live in? *

What Province, State, or Region are you in? *

Phone Number: *

Alternate phone number

Email address: *

Confirm Email address: *

How did you hear about us?Please choose one answer choice from the list of choices presented

When are you looking to move into your new home?Please choose one answer choice from the list of choices presented

In what city or part of town are you looking to own a home? *

Why are you interested in a rent-to-own program?

What kind of home are you looking for?

How many people will be living in your home?

Adults

Teens

Children

Pets

What is your credit score?You can check your credit report for free from Borrowell or Credit Karma.

Do you currently rent or own?

How much is your current monthly rent or mortgage? (This field is required. Please enter amount.) *

What is the maximum monthly payment you can afford? (This field is required. Please enter amount.) *

What is your main source of income? *

What is your gross combined household income before taxes? (This field is required. Please enter amount.) *

In the past year, have you tried to get financing from a financial institution to get a mortgage? *

Have you ever been through a bankruptcy, foreclosure or consumer proposal? (Check all that apply) *

BankruptcyForeclosureConsumer proposalI have been discharged for 2 years or more from a bankruptcy, foreclosure, consumer proposalNone of the above

How much savings can you can put towards the purchase of a new home? *

Is there anything else you would like to mention?

We are committed to keeping your personal information private, confidential, and secure.

Initial Questionnaire

Please Fill Out Our Initial Questionnaire

What does your rent or mortgage include? (Check all that apply.) *

Have you ever been through a bankruptcy, foreclosure or consumer proposal? (Check all that apply) *

Site Link

Contact Us

Follow Us