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Prequalification Form
I am applying to borrow $
Loan Type
VA
FHA
Conventional
Not Sure
Purpose of Loan:
Purchase
Construction
Refinance
Address of Property you are purchasing:
[If you have a property currently under contract]
Sales Price: $
Property will be:
Primary residence
Secondary residence
Investment property not occupied by owner
Term:
30 Years
15 Years
Fixed
Adjustable
Real Estate:
Do you currently own a primary residence?
Yes
No
If yes, is it to be sold?
Yes
No
Do you own a second home or any rental properties?
Yes
No
If yes, how many?
One
Two
Three
Four
More than five
Current debt structure
(Please enter minimum monthly payment.)
Rent:
Mortgage:
Car:
Loans:
Visa:
Mastercard:
Discover:
American Express:
Student Loan:
Other:
Other:
Other:
$
$
$
$
$
$
$
$
$
$
$
$
Comments:
Borrower Information
Name:
Social Security #:
Phone [Daytime]:
Phone [Evening]:
May we call you at your daytime number?
Yes
No
Best time to call:
Date of Birth:
Present Street Address:
City:
State and Zip Code:
E-Mail Address
: (required)
Employer:
City and State:
Your Position or Job Title:
Gross Yearly Income:
Co-Borrower Information
Name:
Social Security #:
Phone [Daytime]:
Phone [Evening]:
May we call you at your daytime number?
Yes
No
Best time to call:
Date of Birth:
Present Street Address:
City:
State and Zip Code:
E-Mail Address:
Employer:
City and State:
Your Position or Job Title:
Gross Yearly Income:
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