Pre-Qualify

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What is the Purpose of the loan? Purchase Refinance

What is the Property Value?

What is the Loan Amount?

What is the Down Payment?

Desired Loan Program: Conventional Jumbo FHA VA Adjustable

Desired Loan Term: 30 year fixed 15 year fixed Adjustable Rate

Property Address:

Address:

City / State / Zip:

Borrowers Information:

Borrower           Co-Borrower

First Name:

Last Name:

Home Phone:

Work Pone:

Fax:

Email:

Current Address:

Address:

City / State / Zip:

Background Questions:

Have you declared bankruptcy in the last seven (7) years? Yes No

What best describes your credit? Excellent Good Fair Poor

Do you pay your monthly payments on time? Yes No

What is your gross monthly income (pretax)?

How much are your currently monthly payments?