Quality Homes
Please complete the following form. Fields denoted with an asterisk (*) are required and cannot be left empty.
Agreement
* As part of this pre-qualification process, I authorize Shaar Companies, Inc. DBA Quality Homes to obtain a copy of my credit bureau record. Please inform me of my pre-qualification status by e-mail, using the e-mail address that I will provide as part of my personal information.
 I agree
About You
* First Name:
* Middle Initial:
* Last Name:
* Suffix:  Jr.
 Sr.
 III
 None
* Social Security Number: --
* Date of Birth: // (mm/dd/yy)
* Permanent Street Address:
* City:
* State:
* ZIP Code:
* Are You:  The current owner of the above address?
 Renting at the above address?
 Currently living with parents/relatives?
 In another residential situation?
* Length of Time at Current Address:  years  months
* Monthly Expenses at Current Address:
* Area Code and Phone Number: () -
Your Previous Address
Previous Address, if less than 2 years:
Previous City:
Previous State:
Previous Zip Code:
Your Employment Information
* Employment Status:  Retired
 Employed
 Not Employed
Name of Employer:
Work Area Code and Phone Number: () -
Length of Time with Current Employer:  years  months
Personal Information
* Gross Annual Income:
* E-mail Address: