Name *

First Name

Last Name

Do you have pre-qualification/approval letter from a mortgage lender? *

Yes

No

Are you interested in a HHQ Property? *

YES

NO

Will this property be: *

Your primary residence

A second home

An investment property

Is this property a vacant/Land Bank Property *

Yes

No

Have you completed Home Buyer Education? *

Yes

No

What is your household income?

$25,000 or less

$25,001-$40,000

$40,001-$50,000

$50,001-$60,000

$60,001-$70,000

$70,001-$80,000

$80,001-$90,000

$90,001-$100,000

$100,001-$125,000

$125,001-$150,000

$150,001 or more