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Buyer and Rent-to-Own
Information Form
Buyer Personal Information
Buyer Name:
Buyer Address:
Buyer Home Phone:
Buyer Cell Phone:
Buyer E-mail Address:
Buyer - how long have you lived at current address:
Buyer Employer:
Buyer - how long with current employer:
Buyer Income (Yearly):
Joint Buyer Personal Information
Joint Buyer Name:
Joint Buyer Address:
Joint Buyer Home Phone:
Joint Buyer Cell Phone:
Joint Buyer E-mail Address:
Joint Buyer - how long have you lived at current address:
Joint Buyer Employer:
Joint Buyer - how long with current employer:
Joint Buyer Income (Yearly):
Home Search Criteria
What type of house are you looking for:
What part of the Pittsburgh Area are you interested in:
How many Bedrooms are you looking for:
How many Bathrooms are you looking for:
Looking for a Garage: Yes:
No:
What size lot in acreage do you think you would like:
Financial Profile
Do you presently Rent or Own: Rent:
Own:
What is your Monthly Rent or Mortgage Payment:
What would you consider your credit to be:
Choose Level of Credit
Excellent
Very Good
Good
Not Good
Bad
Have you ever filed for Bankrupcy: Yes:
No:
If you have filed for Bankrupcy, has it been Discharged: Yes:
No:
Have you been Pre-Approved for a Mortgage: Yes:
No:
If not, can our Finance Department contact you: Yes:
No:
If Pre-Approved, what financial limit were you approved for:
What kind of a Down Payment can you make (in dollars):
What Monthly Payment can you make:
How did you hear about us:
Investors...Not Realtors
Information Deemed Reliable, But Not Guaranteed