CC Home Inquiry Form - Homeownership Center Dayton

Property*

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

How many people live in your household? (Including yourself.)*

Please enter a number from 1 to 25.

What is your current housing situation?*

Do you know your credit score?*

What is your credit score?*

How much do you currently pay for rent/mortgage?*

Please enter a number from 0 to 5000.

Are you currently prequalified for a mortgage?*

What lending company are you using?*

Who is your loan officer?*

Have you experienced a foreclosure or bankruptcy in the last three years?*