Contact Me at Select One Home Work Best Time to Call Select One Morning Afternoon Evening

Loan Purpose Purchase Refinance Loan Type Select One Fixed Arm

Property Type Select One Primary Residence Second Home/Vacation Home Investment Property

Will there be a co-borrower on this loan?
No Co Borrower Spouse Other

Purchase Price or Appraised Value for Refinance
$

Amount Avail for Down Payment or Closing Cost
$

Goals
Low Down Payment Cashout/Debt Consolidation Lower Interest Rate

Total Gross Yearly Income (Income Before Taxes)
$

Total Monthly Debt Payments (Including Alimony & Child Support)
$

Current Employer No.Years

Checking Account Balance $ Institution

Savings Account Balance $ Institution

Retirement Balance $ Institution

Do you authorize us to pull your credit report to pre-qualify you for a loan?
(If so please be sure to provide your social security number)
Yes No         Please Initial

Race Hispanic or Latino Not Hispanic or Latino I do not wish to furnish this information

Ethnicity American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White I do not wish to furnish this information

Are you obligated to pay child support? Yes No

Comments

Contact Me at Select One Home Work Best Time to Call Select One Morning Afternoon Evening

Total Gross Yearly Income (Income Before Taxes)
$

Total Monthly Debt Payments (Including Alimony & Child Support)
$

Current Employer No.Years

Checking Account Balance $ Institution

Savings Account Balance $ Institution

Retirement Balance $ Institution

Do you authorize us to pull your credit report to pre-qualify you for a loan?
(If so please be sure to provide your social security number)
Yes No         Please Initial

Race Hispanic or Latino Not Hispanic or Latino I do not wish to furnish this information

Ethnicity American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White I do not wish to furnish this information

Are you obligated to pay child support? Yes No

Comments