Home Loan Pre-Qualification Form

Loan pre-qualification is the first step to obtaning your dream home. Simply fill out the form below, and I can get you started by helping determine what loan structure will suit you best. I will be in contact with you shortly.

Personal Information

Your Name(First, Last):

Home Phone:

Work Phone:

E-Mail:

Fax:

Best Time to CAll:

Property Location

City:

State:

Loan Request: $

If "other" (Please type here)

Loan Amount Desired: $

Loan Type:

Annual Household Income: $

Credit History:

Purchase Section

Status:

If "Other" :

Purchase Price Range:

And

Down Payment Range:

And

Refinance Section

Property Value: $

Existing Loans on Property:

1st

2nd

3rd

Reason For Refinancing:

If "Other" :

Current Loan Type:

If "Other" :

Second Mortgage Section

Loan Type::

If "Other" :

Existing Loans on the Property:

1st Loan Balance $

2nd Loan Balance $

Reason for Loan:

If "Other" :

General Comments:

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Thank you for submitting your information. We will be in contact with you by phone or email.