LA Home Providers

Preliminary Home Ownership Application

LA Home Providers has homes and programs available for people wanting to recognize the American Dream of home ownership. If youve 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 (Privacy Policy). If you don't wish to buy a home now, you can contact us by email with any questions or comments.
Items marked with a red asterisk (*) are required.
C O N F I D E N T I A L
Your Contact Information
* First Name
* Last Name
Address
City
State
Zip
* Day Phone  x 
* Evening Phone  x 
  Cell/Pager  x 
* Best Time to Reach You
Email
Your Property Needs
What kind of Buy/Rent Program are you looking for?
What kind of home are you looking for?
What's the most you can afford to pay monthly for your new home?
What's the most you can you afford to put down on your home?
Do you currently have a retirement account with your current employer? IE: 401k, IRA, etc.
What price range home are you looking for? to 
How is your credit? Ugly is Ok!
How soon are you looking to purchase your next home?
In which area(s) do you wish to purchase your home?
How many bedrooms do you require?
How many bathrooms do you require?
How many square feet do you require?
Do you require a garage?
Do you require a basement?
  Do you have any other special requirements?
  Do you have any additional questions or comments?
How did you hear about us?
  If you were referred, please enter the name of the person who referred you.
 
C O N F I D E N T I A L
If you have any problem submitting this form, please contact us and let us know.

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LA Home Providers
Contact Us Now!
Primary Phone 310-876-0417
Toll Free 866-849-4586