Queck Capital Management and Queck Properties
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Prequalification Form

Fill out the information below and click "Submit" when completed.  Queck Capital Management/Queck Properties will review your information and contact you to discuss how we can help you.

Applicant name
Applicant date of birth
   
Co-applicant name

Co-applicant date of birth
   
Phone

Email

Present address

How long have you lived at present address?

Current monthly rent or mortgage payment

Landlord name

Landlord phone number

Has applicant or co-applicant ever been evicted?
Yes
No

Applicant Employment Information

Co-applicant employment information
   

Has applicant or co-applicant ever filed for bankruptcy?
Yes
No

Has applicant or co-applicant ever had a foreclosure?
Yes
No

Does applicant or co-applicant have any judgments against them?
Yes
No
   
   
What is your most recent credit score?

What home price range are you interested in?

Highest amount available for a downpayment 
Note: A larger downpayment is required for higher priced homes. 
   

How did you hear about Queck Capital Management?
Telegraph Herald Classified Ad
Personal referral

Explain how you'd like us to help you.
I agree that all information provided is believed to be accurate.  I give Queck Capital Management the right to verify all provided information.
Yes
No