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Application For Rent-to-own
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First name
*
Last name
*
Phone number
*
Email address
*
Do you currently rent or own?
*
Rent
Own
Other
How long have you lived at your current location?
*
What are your current monthly housing payments?
*
What area are you looking to purchase a home?
*
Current relationship status
*
Married
Common law
Separated/divorced
Single
Current employment status
*
Employed
Self-employed
Unemployed
Total annual household income
*
$30,000 or less
$30,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000 and up
What initial deposit do you currently have?
*
(the greater amount of 5% or $5,000)
What is your price range for a home?
*
(Min. $150,000)
What is your price range for a home?
$
150000
(Minimum $150,000)
Have you already started searching for a home?
*
Yes
No
Have you already applied for a mortgage?
*
Yes
No
Please provide a brief description on why you are applying to our program
*
Submit
