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SECTION 1: BASIC INFORMATION.
Name
*
First Name
Last Name
Property address you are interested in?
*
Street Address
City
State / Province
Postal / Zip Code
Property address you are interested in?
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Who will be living in the home (names and ages)?
*
How long have you lived in this area?
*
Please Select
Less than 1 year
1-3 years
3+ years
Why are you moving from your current housing?
*
How soon are you looking to move?
*
Please Select
Immediately
Within 30 days
30-60 days
More than 60 days
SECTION 2: EMPLOYMENT & INCOME
What do you do for work?
*
How long have you been earning income in this line of work?
*
Please Select
Less than6 months
6-12 months
1-3 years
3+ years
What is your average total monthly household income (before taxes)?
*
Please Select
Under $2,500
$2,500 - $3,500
$3,500 - $5,000
$5,000+
Does anyone else in the household contribute income? If yes, please explain.
SECTION 3: HOUSING & PAYMENT HISTORY
What is your current monthly rent or housing payment?
*
Have you paid your housing payment on time for the past 12 months?
*
Yes
Mostly
No
Have you ever been more than 30 days late on rent or a housing payment? If yes, please explain.
*
Have you ever been evicted or required to move by a landlord or lender? If yes, please explain.
*
SECTION 4: CREDIT & FINANCING
Do you currently qualify for a traditional bank mortgage?
*
Yes
No
Not sure
If you do not qualify, what is the primary reason?
*
Credit Score
Bankruptcy
Foreclosure
Self-employed
Short job history
Other
Are you actively working to improve your credit or financial situation? If yes, please explain.
SECTION 5: CASH & DOWN PAYMENT
How much money do you currently have available for a down payment?
*
Please Select
Under $2,000
$2,000 - $3,000
$3,000 - $5,000
$5,000+
What is the source of your down payment funds?
*
Savings
Tax refund
Family assistance
Other
Would paying the down payment leave you financially strained
*
Yes
No
SECTION 6: OWNERSHIP RESPONSIBILITY
This is not a rental. Are you comfortable being responsible for minor maintenance, utilities, and general upkeep of the home?
*
Yes
No
Have you ever owned or been responsible for maintaining a home before? If yes, please explain.
*
If something small breaks (for example: toilet handle, outlet, or faucet), what would you do first?
*
SECTION 7: LONG-TERM INTENT
Is your goal to eventually own this home?
*
Yes
No
Not sure
How long do you realistically see yourself living in this home?
*
Please Select
1 - 2 years
3 - 5 years
Long term
What circumstances might cause you to leave this home in the future?
SECTION 8: FINAL QUALIFYING QUESTIONS
Are you comfortable with an owner-finance agreement that is recorded and legally binding?
*
Yes
No
Do you understand that late or missed payments may result in loss of the home?
*
Yes
No
Is there anything in your background or current situation that could interfere with making your payment on time every month?
*
How did you hear about this property?
Photo ID (FRONT)
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ACKNOWLEDGEMENT
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I certify that all information provided is true, accurate, and complete to the best of my knowledge. I acknowledge that any false or misleading statements may result in denial or termination. By signing, I confirm I have read and agree to all stated terms and conditions.
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Featured
For Sale
Available w/Seller Financing
$ 600
/mon. Seller Financing
2
1
1,049 ft
2
1646 East Wood Street, Decatur, IL, USA,
Decatur
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860-579-1421
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