PRE-QUALIFY FORM

The purpose of the pre-qualification center is to help Partners in Integrity Realty, Ltd. determine the price range you would be looking in once your house hunting begins. This form also provides us with information that helps determine what your needs are as a buyer, being a first-time homebuyer is different than already being a homeowner. We will contact you regarding the information provided to us as soon as possible.

(*) indicates a required field

Contact Information

*Full Name:

*Street Address:

*City: *State: *Zip Code:

*Home Phone: Other Phone:

*E-mail:

*I prefer to be contacted by:

MAIL HOME PHONE OTHER PHONE E-MAIL

Income & Expenses

Total Monthly Income

Wages:

Other:

Total Monthly Expenses Examples: vehicle payments, child support, school loans, mortgage payments, credit cards, insurance.

Total:

Let Us Know

Please check all that apply to your situation:

I need a Realtor® please contact me

I am a first time homebuyer

I am a homeowner and want to sell my home before I purchase another

I am a homeowner and want to purchase another home

I am currently only interested in pre-qualifying and not ready to buy

I am interested in getting pre-approved for a mortgage (By selecting this option Partners In Integrity Realty, Ltd. will send your information to a mortgage consultant at Fulton Savings Bank who will then contact you.)

Please enter any additional information: