Today is March 11, 2010   
Pre-Qualification Application

Fill out the form below to initiate the loan process. After completion of the form please press Send at the end of form.

A Lender with the best programs suited to your loan needs will respond to you as soon as possible. The more information we have the better we can satify your mortgage needs.

Loan Information

Loan Amount: *   

Sales Price (if purchase)
Value of Home (if refinance) *  

Type of Loan: * Purchase   Refinance   Second Mortgage/HELOC

Occupancy Status: *  Primary Residence Second Home Investment Property

Property Type: *  Single Family Townhouse Multiple Family (2-4 units)


Customer Information

Name: *
E-mail: *
Current Street Address:
City:
State: *
Zip Code: *
Home Phone:
Work Phone:
include extension if applicable
Social Security Number:
(XXXXXXXXX) No Dashes


Credit and Income Information

How would you rate your Credit?* Excellent Good Average Fair Poor

Employment Status: Salaried Self Employed

Employer:
Number of years with Company:
Gross Monthly Income:
Liquid Assets:
nclude checking, savings, publicly traded stocks, mutual funds etc.
Retirement and 401k:
Monthly Auto Payments
Monthly Credit Card Debt:
Monthly Debt other than Home, Auto or Credit Card:

Property Information

Property Address:
Property City:
Property State:
Property Zip Code:
Name of condo project if applicable:



If refinancing please answer the following:

What is your Current Balance?
What is your Current Rate?
Current Monthly Payment (excluding taxes and insurance):
Annual Property Taxes:
Annual Insurance:

Do you currently have Mortgage Insurance?:
Yes No
Do you have a line of credit on the Subject Property?:
Yes No
If yes, enter outstanding balance:
If yes, have you withdrawn from this account in the last 12 months?: Yes No
Do you have a second mortgage on the Subject Property?:
Yes No
If yes, enter outstanding balance:
Do you want to keep this loan or consolidate it with the first mortgage?

Questions, Comments, and Details of your specific Loan Scenario.


Yes I have read and agree to the terms & privacy policy.

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