Pre-Qualification Form

Please enter as much information as you can on this form. This information will be used to obtain a "pre-qualification approval" from a lender.

Then, when you are ready to make a purchase, this pre-qualification will tell your prospective seller that you are serious about wanting to buy their house.

* Required fields
Name *
E-mail Address *
Your telephone number *
Best time to call *
Marital status *
Your current street address *
Your current city *
Your state *
Your Zip code *
Currently, do you . . . *
New home street address
New home city
New home state
New home Zip code
This home will be a . . . *
Loan will be used for . . . *
Purchase price of new home ($$) *
How much you want to borrow ($$)
For how many years
Down payment ($$ or %)
Annual property tax (if known) ($$)
Annual property insurance (if known) ($$)
Your employment status
Co-borrower's employment status
Occupation or type of business
How long with current employer
Total gross monthly income ($$) *
If self-employed, Adjusted Gross Income ($$)
Current rent ($$)
Current 1st mortgage ($$)
Current 2nd mortgage ($$)
Current property taxes ($$)
Current homeowners' insurance ($$)
Current homeowners' dues ($$)
All other monthly debts (credit cards, car loan, etc.) ($$)
Is your credit history . . . *

I have read and agree to the Privacy Policy *

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