DPA-Lead - Homeownership Center Dayton

Name*

First Last

Phone*

Email*

Address*

Street Address City State ZIP Code

How did you learn about The Homeownership Center?

What lending company are you using?

Who is your employer?

If Other, please be specific.

Who referred you to the HomeOwnership Center?

Where would you like to purchase a home?*

Dayton
Northwest Dayton
Trotwood, Harrison Township, or Jefferson Township
Montgomery County (outside above choices)

Other than Dayton, Kettering or Montgomery County, where would you like to live?*

How many people will be living in the home?*

What is the household gross annual income?*

Add up the income before taxes, of all people above the age of 18 that will be living in the house. You will be asked to supply documentation at a later date.

Are you pre-approved for a mortgage?*

Yes
No

What kind of mortgage pre-approval do you have?*

FHA
Conventional
Not Sure

Who is your lender?*

Do you know your credit score?*

Yes
No

What is your credit score?*

Please enter a number from 400 to 1000.

Is there anything else that you would like us to know?

DPA Pre-Screening

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The HomeOwnership Center is an Equal Opportunity Lender

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