Preliminary Home Ownership Application

Chronos Realty has homes and programs available for people wanting to recognize the American Dream of home ownership. If you've had difficulties qualifying for traditional bank loans, we offer alternative methods of buying a home, including lease-optioning and owner financing. Fill in the following form as completely as possible and we will contact you when a home becomes available that meets your purchase criteria. All information provided will be kept strictly confidential. If you don't wish to buy a home now, you can contact us with any questions or comments.

*Items marked with a red asterisk are required. If your are unable to answer a a required question, give us your best guess or enter a "?", "NA", "0", "don't know", etc.

STRICTLY CONFIDENTIAL

Your Contact Information
*First Name
*Last Name
*Address
*City
*State
*Zip
*Day Phone
*Evening Phone
*Cell/Pager
*Best time to reach you	Anytime Morning Afternoon Evening Night
*email
Desired Property Information
*Desired City
*Desired Square Footage	Choose one Under 1000 1000 - 1200 1000 - 1200 1200 - 1400 1400 - 1600 1600 - 1800 1800 - 2000 2000 - 2500 2500 - 3000 3000 - 3500 3500 - 4000 Over 4000
*Number of bedrooms	Choose one 1 2 3 4 5
*Number of bathrooms	Choose one 1 1.5 2 2.5 3
*Property Type	Single Family Condominium Townhome Multi-Unit Commercial
*How much of a monthly payment do you want?	Choose one Under $600 $600 - $799 $800 - $999 $1000 - $1199 $1200 - $1399 $1400 - $1599 $1600 - $1799 $1800 - $1999 $2000 or more
*How much down payment money do you have?
*Any Additional Information