Who we are     Why Rent-to-Own      How it works      Apply Now FAQs   Fill out the form below to provide your information.    Please make sure to include all requested information as it is important to assess your file and how we can help you.   Primary Applicant Contact Information: First Name: * Last Name: * Address: * City: * Province: * Email: * Evening Phone: * Daytime Phone: Primary Applicant Financial Information What is your gross annual household income?: * Under $30,000 $30,000 - $40,000 $40,000 - $50,000 $50,000 - $60,000 $60,000 - $70,000 $70,000 - $80,000 $80,000 - $90,000 $90,000 - $100,000 More than $100,000 Current Employer: * How is your credit?: * I don't know Poor Fair Good Excellent Years at Current Employer: * Tell us about your situation: *   Position: *     Liabilities per month (Money that you have to pay/reimburse) * Mortgage: Credit Cards: Car Loans/Leases: Other: Secondary Applicant Financial Information (if applicable) Name: Current Employer: Position Years at Current Employer: Home Purchase Information How much would you be able to get for your down payment? * How much could you afford as a Monthly Payment? * Price range of homes you are interested in: * Under $100,000 $100,000 to $150,000 $150,000 to $200,000 $200,000 to $250,000 $250,000 to $300,000 $300,000 to $350,000 $350,000 + Property type: Condo Townhouse Semi-Detached Detached Preferred city/town? * Do you already have a property in mind? Yes No When are you planning to become a homeowner?: * Within 3 months Within 6 months More than 6 months How did you hear about us?:     © 2010 Home Owner Access - All Rights Reserved