Progressive Home Buying Program Application
We will help you purchase a home regardless of your credit. Please provide as much detail as possible.
Email address *
Applicant's Full Name *
Your answer
Co-Applicant's Full Name
Your answer
Primary Address, City, State, and Zip Code *
Your answer
Primary Phone Number *
Your answer
Primary Email *
Your answer
Secondary Address, City, State, and Zip Code
Your answer
Secondary Phone
Your answer
Secondary Email *
Your answer
Best Time To Reach You *
Applicant's Gross Monthly Income *
Your answer
Applicant's Employer Contact Information *
Your answer
Co-Applicant's Gross Monthly Income
Your answer
Co-Applicant's Employer Contact Information
Your answer
What's Your Credit Score? *
Are You Current On All Of Your Bills *
How Long Has Applicant Been Employed/Self-Employed At Your Current Job? *
How Long Has Co-Applicant Been Employed/Self-Employed At Your Current Job?
Has Anyone Been Evicted Before? If Yes, Explain Below. If No, Type "N/A." *
Your answer
Has Anyone Filed Bankruptcy Before? If Yes, Explain Below. If No, Type "N/A." *
Your answer
Has Anyone Had a Foreclosure or Short Sale Before? If Yes, Explain Below. If No, Type "N/A." *
Your answer
How Much Can You Afford To Put Down On A Home? *
Your answer
How Much Can You Afford Per Month? *
Your answer
Do You Have A Retirement Savings Account? i.e. 401(k) or 403(b), IRA, Simple IRA, Roth IRA, etc. *
How Soon Do You Want To Move? *
What Areas Are You Interested In Moving To? Please be as specific as possible. i.e. city, zip code *
Your answer
What Features Do You Want In A Home? i.e. Number of bedrooms, bathrooms, fenced in backyard, garage, pool, basement, etc. Provide details. *
Your answer
Do You Have Any Questions?
Your answer
How Did You Hear About Us? *
Name of Person/Company That Referred You:
Your answer
A copy of your responses will be emailed to the address you provided.
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