First Name

Last Name

Email Address

Phone Number

What is your down payment amount 3% - 5% 10% 20% or greater using VA benefits

Is your FICO Credit Score above 640 Yes No

What is your annual income

When are you looking to buy Within 90 Days 4-6 months 7 months+

What city(s) is your primary choice

Additional Information

Name of Agent who referred you

Other Source