Pre-Qualification Form

You must fill in information in RED.
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Purpose of loan:
Property will be:
Number of units:
Property address:
Street
City
State
Zip
Propery value: $
Loan amount: $
Loan terms (years):
Loan type:
Please complete the information below for the borrower and co-borrower, if available:
	Borrower	Co-Borrower
First Name:
Middle Initial:
Last Name:
Home Phone (inc. area code):
Business Phone (inc. area code):
E-Mail Address:
Present Address:
Street:
City:
State:
Zip:
Rent or Own?:
Number of Years:
Years of employment in current job:
Years employed in current line of work/profession:
Are you self employed?
Total monthly payment on debts(including charge cards & installments debts):
Funds available for down payment, closing costs and reserves(estimated):
Income
Monthly Base Employment Income:
Annual Overtime, Bonuses, Commissions:
number of years:
Annual Investment Income:
Other Annual Income:
Please enter any comments or questions here:

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