Preliminary Assesment Form Name * First Name Last Name Furigana Please write your name in Japanese First Name Last Name Birthday MM DD YYYY Marital Status Married Not Married Address Address 1 Address 2 City State/Province Zip/Postal Code Country Health Insurance National Health Insurance Company Health Insurance Email * Contact no. (###) ### #### SNS Account A link or name would do Services * What are you interested of ? Buy a Newly Built House or Secondhand House / Mansion Rent an Apartment Sell a Property Occupation Company Name Work Contact no. (###) ### #### Annual Income Annual Family Income Desired Area * Please tell us where you would like to live/ relocate including closest Stations; Area, Prefecture, and other Conditions. Loans Do yo have other existing loans? If Yes, please choose Car Phone others Credit Card Please tell us which credit card company do you use Bank Cards Which banks do you pay your bills? Residential Place Owned Rental Message * What are you interested of Please tell us your concerns. Thank you for your application!Your preliminary loan assessment is underway and typically takes 2 – 7 business days. If any required information is missing, we’ll reach out—but you’re also welcome to:Email us proactively at sumikaconsulting@outlook.com with any outstanding documents or questionsFax your documents to 0427-18-4795 if that’s more convenientFor urgent inquiries, please don’t hesitate to contact us at sumikaconsulting@outlook.com. We appreciate your patience and look forward to assisting you soon!