Free Prequalification - Loan Application Mini 1003

Loan Amount Requested: $
Interest Rate Requested:
Type of Loan: Fixed Rate GPM ARM Other # of Months:
Purpose of this loan: Purchase Refinance - No Cash Out Refinance - Cash Out Construction	Property will be: Primary Residence Secondary Home Investment Property	Type of Loan: Conventional FHA VA 2nd Mortgage/Line of Credit
If refinance, present mortgage balance:		House Market Value $
Borrower Name: SSN:		Home Phone:
Present Street Address: City: State: Zip:
Own Rent	Borrower Email Address:
Married Separated Unmarried (includes single, divorced, widowed)
# Number of years at this residence:		DOB:
How do you rate your credit: Excellent Good Fair
Explain Issues: consumer credit 30 day late  60 days late mortgage late bankruptcy foreclosure in the last 7 years
If residing less than two years:
Former Address (CSZ):		Own Rent
Number of Years at this residence:
Employment:
Employer Name: Years on Job: Years Employed Profession:
Self Employed: Position/Title: Business Phone:
If employed in current position less than 2 years or currently employed in more than 1 position:
Employer Name: Years on Job: Years Employed Profession:
Self Employed: Yes Position/Title: Business Phone:
Co-Borrower Name: SSN:		Home Phone:
Present Street Address: City: State: Zip:
Own Rent	Co-Borrower Email Address:
Married Separated Unmarried (includes single, divorced, widowed)
Number of years at this residence:		DOB:
How do you rate your credit: Excellent Good Fair
Explain Issues:
If residing less than two years:
Former Address (CSZ):		Own Rent
Number of Years at this residence:
Employment:
Employer Name: Years on Job: Years Employed Profession:
Self Employed: Yes Position/Title: Business Phone:
If employed in current position less than 2 years or currently employed in more than 1 position:
Employer Name: Years on Job: Years Employed Profession:
Self Employed: Yes Position/Title: Business Phone:
Gross Monthly Income:	Borrower:	Co-Borrower:	Total:
Base Employment Income	$	$	$
Overtime	$	$	$
Bonuses	$	$	$
Commissions	$	$	$
Dividends/Interest	$	$	$
Net Rental Income	$	$	$
Other Income	$	$	$
Total:	$	$	$
Combined Monthly Housing Expenses:
Rent	$
First Mortgage (P&I)	$
Other Financing (P&I)	$
Hazard Insurance	$
Real Estate Taxes	$
Mortgage Insurance	$
Homeowner Assoc. Dues	$
Other	$
Total Monthly Housing Exp	$
Other Monthly Installment Payments:
	Company	Payment
Auto Loan		$
Auto Loan		$
Credit Card		$
Credit Card		$
Credit Card		$
Other		$
Other		$
Other		$
Other		$
Total:		$
Other Client Comments:
Run my (our) credit report(s) and pre -qualify me (us) for this loan. Yes No
If the YES box below is checked, Borrower and Co-Borrower acknowledge(s) lender’s right to use this information to pre-qualify them for the type of loan stated above and authorize lender to secure their personal credit report(s).