LEASE TO OWN APPLICATION

- all entries optional -

First Name:
Last Name:
Home Phone:
Work Phone:
Cell Phone:
Preferred Contact:	Home Work Cell
Current Street Address:
City or Town:
Province
Postal Code:
Previous Street Address: - if less than 2 years at current address
City:
Province:
Postal Code:
I Currently:	Own Rent
How Long:	less than 2 years 2 years 3 years 4 years 5 years more than 5 years
Monthly Payment: including utilities & taxes
Are you on an existing lease?	Yes No
When does your lease expire?
Monthly payment you can afford?
Are you working with a realtor?	Yes No
Are you prequalified for a mortgage?	Yes No
How much are you prequalified for?
How is your credit?	Excellent Fair Poor
Actual credit score:
Would you be interested in using our Mortgage Broker?	Yes No
Do you have a downpayment?	Yes No
If yes, how much of a down payment do you have?
What is your desired town or city to lease to own in?
What is your desired area?	Central NW NE SW SE No preference
Desired neighborhood:
Desired type of home: Hold down Shift Key to select more than one Home type:
Enter desired approximate age range in years:
Enter desired approximate square footage:
Enter number of desired bedrooms:
Enter number of desired bathrooms:
Desired special features Hold down Shift Key to select more than one special feature:
If other, please specify:
Type of garage desired:	Attached Detached Not applicable
Size of garage desired if applicable:	Single Double Triple Other
If other, please specify:
When would you like to take possession?
Additional comments and/or requirements: