PREQUALIFICATION
Applicant(B):
SS# :
Applicant(C):
SS# :
Home Phone:
Work Phone:
Best Time:
Address:
D.O.B:
D.O.B:
Email Address:
EMPLOYMENT & INCOME
Employer(B):
# of Years:
Annual Income:
Employer(C):
# of Years:
Annual Income:
FINANCIAL INFORMATION
Mortgage/Rent Payments:
Taxes Included?
Yearly Taxes:
Mortgage/Rent Payments?
12 Months Avail?
Mortgage Balance:
Mortgage Insurance?
Amount:
Date Purchased:
Purchase Price:
Amount of Down Payment:
Source of Down Payment:
Notes:
OTHER
First Time Home Buyer?
Bankruptcy?
Discharge Date:
Foreclosure?
Date:
How is your credit?
Notes:
I/We have made an inquiry into the purchase of a home with Homes Plus of CT.  As part of the process Homes Plus of CT or a duly authorized financial organization designated by Homes Plus of CT may verify information contained in this document relative to securing financing for a home purchase.  I/We authorize the investigation of the amount and source of the down payment, employment, and income information, and assets and liabilities as well as our credit worthiness.  I/We made no misrepressentation or omit any pertinent information in preparing this document.  By submitting this form I/We grant permission to investigate this information.
Type of Buyer?
Style of Home that you are looking for?
Bilingual Agents Available:
9 High Road
P.O. Box 331
Kensington, CT 06037
860-828-0060
860-223-3833
Fax 860-826-9198
If you are currently in contract and working with another agent it is not our intention as Realtors to solicit your business.  Please contact your agent.