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Street address
Housing status
Select Own Rent Other
Time at address
Select Under 1 year 1–2 years 3–5 years 5+ years
Employment status
Select Business owner Self-employed Employed (W-2) Retired Other
Gross annual income (personal)
Select Under $35K $35K – $75K $75K – $150K $150K – $300K $300K+
Estimated credit score
Select 720+ (Excellent) 680–719 (Good) 620–679 (Fair) Below 620 Not sure
Recent bankruptcies?
Select No Yes, over 2 years ago Yes, within 2 years
