Name: Spouse's Name: Address: City: State: Zip Code: Home phone: Date of Birth: Spouse's Date of Birth:   Education Level of Education completed: High School Graduate? Yes No College? 1 2 3 4 5 6 Degree:   Spouse's Level of Education completed: Is Your Spouse a High School Graduate? Yes No Did your Spouse attend College? 1 2 3 4 5 6 Spouse's Degree:   Employment Employer: Your employer's area of business: Your position title or job description: Annual income: Office phone: Cell: Email address:   Spouse's Employer: Your Spouse's Employer's area of business: Your Spouse's position or job descripttion: Spouse's Annual Income: Spouse's Office phone: Spouse's Cell: Spouse's Email address:   Are you currently buying your home? Yes No Estimated market value of home: Total home debt: Is your home listed for sale now? Yes No How quickly do you need to make a move to your new house? Within: 30 days 60 days 90 days   You can do a quick self-evaluation to deternine the maximim home sales price for which you can qualify. Enter your combine annual income multiplied by the factor or 2.7777 equals the maximum house price you qualify for. Do not enter anything in this field: