Questionnaire – New

Name*

Email*

Phone

Address 1

Address 2

City

State

Zip

Occupation

Employer

Age

Do you own or rent your home?
OwnRent

Existing monthly payment for mortgage or rent?
$

Maximum monthly housing payment you prefer (and still lead a normal life)
$

Salary

Applicant
$
Co-Applicant
$

Other

Applicant
$
Co-Applicant
$
Adjusted Gross Income (from tax return)
$

Are these fields needed?
Cash/Checking
$

Savings
$

Money Market Accounts
$

Real Estate (estimated value)
$

Other
$

Will you receive a gift/loan for any of your down payment? If yes how much?
$

Are these fields needed?

(Please check those types/preferences you are interested in.)

Single FamilyDuplexCondominium

(Please check those types/preferences you are interested in.)

Cape CodColonialBungalowContemporaryRanchTri-levelVictorianOtherBrickWood FrameAluminum

No. of Bedrooms
234

Dining Room
YesNoOptional

Garage
YesNoOptional

Aluminum storms/screens
YesNoOptional

Are you interested in a home requiring some rehab other than painting/carpeting/ect...?
YesNo

(Select all that apply.)

City of Milwaukee
NorthSouthEastWest

Milwaukee County
BaysideBrown DeerCudahyFox PointFranklinGlendaleGreendaleGreenfieldWauwatosaOak CreekShorewoodHales CornersSouth MilwaukeeSt. FrancisWest AllisWest MilwaukeeWhitefish Bay

City Preference

(Please list city.)

Waukesha County

Ozaukee County

Washington County

Walworth County

Southern Racine County

Please let us know how you heard about Homebuyer Associates?