Mortgage Pre-qualification Application
Applicant Information
First Name:
Last Name:
Home Address:
City:
State:
Zip:
Social Security #:
Home Phone:
Work Phone:
Gross Annual Salary:
$
E-Mail Address:
Are you:
self employed
hourly
salaried
Co-applicant Information
First Name:
Last Name:
Home Address:
City:
State:
Zip:
Social Security #:
Home Phone:
Work Phone:
Gross Annual Salary:
$
Are you:
self employed
hourly
salaried
Additional Information
Estimated down payment:
5%
10%
20% or Other
Do you:
own
rent
What price range are you looking in:
Type of home:
condo
townhouse
single
2-4 family
Total approximate assets:
Purchase Transaction / Pre-approval
Purchase Price:
$
Unsure?:
Down Payment:
$
Savings to be used towards purchase:
$
Dwelling Size?:
Single Family
2 Unit
3 Unit
4 Unit
Mortgage Type Desired:
FIXED
ARM
1 YEAR TREASURY
3/1
5/1
7/1 ARM
INTEREST ONLY
PAY OPTION ARM
Unsure?:
Secondary (Concurrent) Financing:
Yes
No
Single Family
2 Unit
3 Unit
4 Unit
Refinance Transaction
Requested Loan Aount:
$
CASH OUT
NO CASH OUT
Property Value:
$
Single Family
2 Unit
3 Unit
4 Unit
Mortgage Type Desired:
FIXED
ARM
1 YEAR TREASURY
3/1
5/1
7/1 ARM
INTEREST ONLY
PAY OPTION ARM
Unsure?:
Secondary (Concurrent) Financing:
Yes
No $
Existing 2
nd
Mortgage:
Yes
No $
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