Phone(s)
Phone(s)
eMail
eMail
Step 2. Tell us about your situation.
What is the property address?
Street:
Number of units:
City:
Occupancy type:
State:
Estate held:
Zip:
What is the type of mortgage loan you'd like?
What is the program type?
What is the appraisal value of the property?
What is the desired loan amount?
What is the estimated down payment amount?
Step 3. Tell us about your employment.
Borrower
Co-borrower
Self employed? Yes
No
Self employed? Yes
No
Employer:
Employer:
How Long (Yrs/Mths):
/
How Long (Yrs/Mths): /
Monthly Income: $
Monthly Income: $
Step 4. Tell us about your assets/liabilities
Assets
Checking: $
Savings:
$
Combined Monthly Liabilities
Rent:
Credit Cards:
Auto Loans:
Child Support:
Other Information
Which describes your situation?
Additional Comments:
I am working with a real estate agent. Yes
No
If yes agents name/company:
* I/We (name(s)____ understand that this form is
for prequalification only and is not an application. You will be
contacted by a Financial Representative within 24
hours. Please leave the best time and method of how to contact you.