Mortgage
Pre-Qualify

Borrower Info

Do you currently have any credit established? Any lates on credit within last 12 months? Any bankruptcies? Discharged date? Any Foreclosure/Shortsale? How long ago? What was address? Type of Transaction Occupancy Name Phone/Cell Email Address City, State, Zip How Long? If Less than 2 Yrs, what was your previous address? occupancy previous address Monthly Payment $

Co-Applicant

Do you currently have any credit established? Any lates on credit within last 12 months? Any bankruptcies? Discharged date? Any Foreclosure/Shortsale? How long ago? What was address? Type of Transaction Occupancy Name Phone/Cell Email Address City, State, Zip How Long? If Less than 2 Yrs, what was your previous address? occupancy previous address Monthly Payment $

Borrower Employment Info

Name of Employer Address City, State, Zip How many years? Phone number? Position Self Employed Monthly Income Before Taxes (gross) Dependants/Ages Checking Balance Savings Balance 401K Balance Child/Alimony Income Child/Alimony Payment Do you receive a gift From A Relative How Much is the gift? $ Are you interested in a “Down Payment Assistance” program?

Co-Applicant Employment Info

Name of Employer Address City, State, Zip How many years? Phone number? Position Self Employed Monthly Income Before Taxes (gross) Dependants/Ages Checking Balance Savings Balance 401K Balance Child/Alimony Income Child/Alimony Payment Do you receive a gift From A Relative How Much is the gift? $ Are you interested in a “Down Payment Assistance” program?