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Zip Code

Do you have any debts?(check any that apply)
How many credits cards do you have?
0
1
2
3
More Than 3
Are you trying to refinance or purchase a home?
Yes
No
Have filed for bankruptcy in the last 8 years?
Yes
No
Are you currently employed?
Yes
No
Are you married?
Yes
No
How many children do you have?
0
1
2
3
More Than 3
Have you filed the last 4 years of taxes?
Yes
No
Not Required to File Taxes
What is your monthly average income?
$0 - $1,500
$1,501 - $3,000
$3,001 - $4,500
More Than $4,500
What is the total monthly household income?
$0 - $1,500
$1,501 - $3,000
$3,001 - $4,500
More Than $4,500
Do you have any other types of income?(check any that apply)
Child Support or
Alimony Income
Alimony Income
Rental Income
Social Security, Pension
or Retirement Income
or Retirement Income
None
Personal Business Income
Unemployment or Other Government Assistance
What is the amount of non-employment household income?
$0 - $1,500
$1,501 - $3,000
$3,001 - $4,500
More Than $4,500
Do you have any of the following?(check any that apply)
Online Debit Card
Savings Account
None
Checking
What's your estimated credit score?
Good 700 - 739
Fair 660 - 699
Poor < 659
Unsure
Are you expecting a tax return?
Yes
No