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Free Mortgage Prequalification Application

Our free service will securely send your mortgage preferences to our loan officers. Shortly after completing this form, one of our loan officers will contact you with the best rates possible, allowing you to make an informed mortgage decision while saving you money!

About Your Loan Program

Loan Program:

30 Year Fixed 25 Year Fixed 20 Year Fixed 15 Year Fixed 10 Year Fixed 5 Year Balloon 7 Year Balloon FHA 30 Year Fixed VA 30 Year Fixed

Loan Purpose:

Purchase Construct Home Refinance - No cash Refinance - Cash out Refinance - Home improvement Refinance - Debt Consolidation Refinance - Change Loan Type Construction to Permenent Zero Down Payment

Loan Amount:

Property Value:

Estimated Timeframe:

< 30 days 30-60 days 60-90 days > 120 days Not sure

Property Information

Property Information:

N/A Single Family Residence Condominium Townhouse Cooperative Two-to-Four-unit Residence Multifamily (4 + units) Mobile Home Commercial - Non Res. Mixed Use - Residential Farm Commercial - Residential Land and Lots Other

Property Address:

City:

State:

Zip:

Borrower Information

First Name:

M.I.

Last Name:

Social Security #:

Date of Birth:

Work Phone:

Best Time to Call:

Any time Early Morning(before 9 AM) Late Morning (after 9 AM) Early Afternoon (12 to 3) Mid Afternoon (3 to 6) Evenings (after 6)

Home Phone

Best Time to Call:

Any time Early Morning(before 9 AM) Late Morning (after 9 AM) Early Afternoon (12 to 3) Mid Afternoon (3 to 6) Evenings (after 6)

Email Address:

Employment Information

Self Employed:

No

Yes

Years employed:

Annual income:

$20,000 $20,000-25,000 $25,000-30,000 $30,000-35,000 $35,000-40,000 $40,000-45,000 $45,000-50,000 $50,000-60,000 $60,000-70,000 $70,000-80,000 $80,000-90,000 $90,000-100,000 $100,000-125,000 $125,000-150,000 $150,000-175,000 $175,000-200,000 Over 200,000

Income and Expense Information

Monthly Expenses ($):

Credit History:

Excellent Good Fair Poor

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