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Prequalify For A Loan

To start the loan pre-qualification process, please complete and submit the form below. Items marked in red are important for helping me pre-qualify you for a loan. After I receive this information I will contact you with a few more questions to complete your application.

About you:

Your name:

Your phone number:

ext.

Best time to reach you:

Your e-mail address:

Marital status:

If there is someone else applying with you, please enter their name below:

Their full name:

Your current address:

Street name:

City:

State:

Zip:

This loan is for a:

Your ownership status:

Address of the property you are buying, if you have decided:

Street name:

City:

State:

Zip:

This property will be a:

Estimate your loan

Purchase price of the property? (Do not include commas.)	dollars
How much do you want to borrow? (Do not include commas.)	dollars
Length of years for mortgage:	years
Annual interest rate:	%
Annual property tax (if known):	dollars
Annual property insurance (if known):	dollars

Employment and expenses

Your employment status:

Co-borrower's
employment status:

What is your occupation or type of business?

How many months have you been working for your current employer? (If self-employed, how long have you had your own business?)

months

What is your total monthly income? Please include the income of anyone applying with you.

dollars

Your current monthly housing costs. (Please include the housing costs of anyone applying with you.)

Rent:

First mortgage:

Second mortgage:

Taxes:

monthly

Homeowner's insurance:

monthly

Homeowner's dues:

monthly

How much do you pay each month on other debts such as car loans and credit cards? Please include the debts of anyone applying with you.

dollars

Additional information you think we should know: