Pre Financial Qualification Form

First Name:

Last Name:

Email:

Primary Phone Number:

Address Line 1:

City:

State:

Zip Code:

Will you have your Spouse / Partner be involved?

Partner Involvement

Yes

No

Spouse Involvement

Yes

No

Both (Partner / Spouse) Involvement

Yes

No

None

Yes

No

Spouse / Partner First Name:

Spouse / Partner Last Name:

Current Employment Status:

Spouse / Partner Employment Status:

Have you ever owned your own business?:

Current Monthly Compensation ($):

Net Worth ($):

Available Liquidity ($):

Cash on Hand ($):

Primary Residence Value ($):

Primary Residence Mortgage ($):

Other Assets ($):

Total Liabilities ($):

Do you plan on having other investors?:

Have you or your partner / spouse ever been involved a bankruptcy?:

Do you or your partner / spouse have any judgements, liens or lawsuits pending?:

Have you or your spouse ever been convicted of a felony?:

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