Greenfield Custom Homes

call 919.772.2220

Interested in a new Home? Please allow us the opportunity to "pre-qualify" your credit status. Doing so will allow you to concentrate on choosing just the right home for you when you visit our sales center. Fill out the form below and leave the rest to us! All fields are mandatory.

Applicant

Co-Applicant

Name

First

M.I.

Last

First

M.I.

Last

Social Security #

Date of Birth

Street Address

City

Zip

How long at this residence?

Home Phone

Status

Current monthly payment

Employer

Job Title

How long at this job?

Employer phone number

Gross salary

Time period

Email address

Please tell us the best time to contact you and the way you want us to contact you
(telephone number, etc...)

So that we may best meet your needs, please answer the following questions:

Have you ever visited our sales center before?

If yes, which one of our Home Consultants helped you when you called or visited?

Which of our homes interest you most?

After reviewing the homes posted on the web site, which home did you like the best?

Do you presently own a lot suitable for placing your home on?

Would you consider renting a lot to place your home on?

Are you interested in buying a lot if your finances will allow?

What area (County and Town) would you like to be located in?

How did you learn about our web site?

By clicking the submit button or by signing and faxing this application, you hereby declare that all statements in this application are true and made for the purpose of obtaining credit. Greenfield Custom Homes is authorized to investigate my credit record, to verify my credit, employment, and income references, to obtain such other information as Greenfield Custom Homes deems necessary, and to submit this information to lenders Greenfield Custom Homes has a relationship with, and to give credit reporting agencies (credit bureaus) and others information regarding Greenfield Custom Homes experience with me.

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