Pre-Qualification Form

To allow the staff at the Village of Jefferson Crossroads to better understand your needs and wants when it comes to purchasing your new home, please fill out the following pre-qualification form to the best of your ability. By doing so, we can better assist you in your home purchasing and create a satisfying experience.

Note: At the bottom of the form, there is a colored box with a code in it called a CAPTCHA. This is to determine that a human is filling out this form, and not computer spam. This is so we can receive valid submissions and better service our customers. If you are having difficulty in filling it out, please do not hesitate to call us.

Gross Monthly Income
Weekly Amount
Monthly Amount
Comment
Job #1 x 4.33
Job #2 x 4.33
Job #3 x 4.33
Other Income #1 x 4.33
Other Income #2 x 4.33
Other Income #3 x 4.33
1. Total Monthly Gross Income
Monthly Obligations Monthly Amount Comment
Car Payment #1
Car Payment #2
Car Payment #3
Installment Loan #1
Installment Loan #2
Installment Loan #3
Installment Loan #4
Credit Card #1
Credit Card #2
Credit Card #3
Credit Card #4
Other #1
Other #2
Other #3
Totals
2. Total Monthly Obligations
Current Debt Ratio (Line 2 / Line 1)
3. Total amount available for monthly obligation
(Total monthly gross income (Line 1) x 0.41)
4. Maximum amount available for housing
(Line 3 subtract Line 2)
5. Monthly Lot Rent
(If placed in a community)
6. Net amount available for house payment
(Line 4 subtract Line 5)
7. Amount Desired for Monthly Home Investment


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