Empire Real Estate
Home Loans and Property Sales
51 Monroe St.
Suite #1107
Rockville, MD 20850
(240) 603-9794


Buy a Home
Mortgage Info
Credit Repair and Restoration
Rent-To-Own Info.
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Sell a Home
Community
Contact Us

 Please let us know more about your home buying goals by completing the worksheet below.

 
 
*Indicates required field
In how many months will you be ready to move: *
Type of property you are interested in: *
In which town(s) do you wish to purchase your next home in: *
How many bedrooms do you want your next home to have: *
How many bathrooms do you want your next home to have: *
What other features must your next home have :
Buyer's First Name: *
Buyer's Last Name: *
Buyer's E-mail Address: *
Buyer's Daytime Phone Number: *
Buyer's Current Home Address: *
Buyer's Annual Income: *
Self Employed?: * Yes   No    
Is any of your income in the form of child support, alimony or social security: * Yes   No    
If yes, what kind and how much:
Do you pay child support or alimony?: * Yes   No    
If you do pay child support or alimony, how much do you pay?:
Have you ever declared bankruptcy?: * YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
Have you ever had a property foreclosed on?: * YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
Have you ever sold a properety as a short sale?: * YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
What is the MAXIMUM amount of money you are willing to spend monthly on your mortgage payment: *
How much money will you be using as a down payment : *
Are you a military veteran: * Yes   No    
How would you rate your overall credit history: *
Do you have ANY pets: *
If yes, what kind and how many:
Co-Buyer's First Name:
Co-Buyer's Last Name:
Is any of the co-borrower's income in the form of child support, alimony or social security?:
If yes, what kind and how much:
Does the co-borrower pay child support or alimony?:
If the co-borrower does pay child support or alimony, how much do you pay?:
Co-Buyer's E-mail:
Co-Buyer's Daytime Phone Number:
Co-Buyer's Current Home Address:
Co-Buyer's Annual Income:
Self Employed?: Yes   No    
Have you ever declared bankruptcy?: YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
Have you ever had a property foreclosed on?: YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
Have you ever sold a properety as a short sale?: YES   NO    
If you answered yes to the previous question, when did it occur (month/year):
How would you rate your overall credit history:
Is the co-borrower a militray veteran: Yes   No    
Do you have ANY pets: Yes   No    
   
       
**ATTENTION: By submitting this form your are certifying that all of the information provided above is true and accurate to the best of your knowledge
 
 
 
 
 
 
   

 

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