Pre-Qualification Worksheet

Borrower's FULL name (required)
Co-Borrower's FULL name

Social Security Number Borrower

Social Security Number Co-Borrower

Borrower's home address:

City, State, Zip:

Borrower's Contact Phone Number: (required)

Borrower's Email Address: (required)

Occupations:
Borrower
Co-borrower

Employed Self-employed

Gross Monthly Income -- Borrower
Gross Monthly Income -- Co-Borrower
Total Monthly Mortgage, Rent or housing payment:
Total monthly payments for all owned or leased autos:
Total monthly minimum payments due on credit cards/revolving credit:
Total monthly payments for all other debt:
Monthly alimony and/or child support payments:
Available funds for down payment and closing costs:

Type of loan preferred: 30-year fixed: 15-year fixed: Adjustable rate mortgage:

If a purchase, what is the asking price?
Loan amount requested:

IF REFINANCING:

Value of Property:
Loan Amount Requested:

Please, feel free to call us with any questions on this worksheet. THANK YOU!

(800) 266-1333

This Prequalification is based on information you provided and does not guarantee a loan approval without full documentation. If you are not comfortable sending this information over the internet you can print out this page and fax it to (951) 587-6167