Pre-Qualification Request Form
Only fields with an asterisk (*) are required, however complete as many as possible. Complete applications can be processed with greater speed.



_____________________________________________________________________________________________

Amortization Type:
Loan Purpose:
Loan Amount: *
Current Rate:*
Property Type:


Property Market Value:*
Down Payment: (Purchase Only)
Source Of Down Payment: (Purchase Only)
Expecting Closing Time: (Purchase Only)
Loan Information
Mortgage Applied For:
Property Address:
City:
State:
Zip Code:
Borrower Information
First Name:*
M.I.*
Last Name:*
Address:*
State:*
Zip Code:*
Email Address:*
Current Employer:
Years On Job:
Gross Monthly Income:
Mortgage (P&I) Payment:
Current FICO:
Self Employed:
Co-Borrower Information
First Name:
M.I.
Last Name:
Address:
City:
Email Address:
Phone:
Current Employer:
Years On Job:
Gross Monthly Income:
Mortgage (P&I) Payment:
Current FICO:
Self Employed:
Pre-Qualification Request
(If you are just shopping around or want to know your options.  Credit Check is Not Required for Pre-Qualification.)

By clicking “Request Pre-Qualification”, you are requesting to be pre-qualified only. Pre-qualification is an informal process that will allow the loan officer or lender to give you an “idea” of how much house you can afford and what some of your financing options “may” be, if the information you provide is accurate. Pre-qualification does not involve a check of your credit history. This option is generally best if you are just shopping around or only want to know your options.

Pre-Approval Request
(If you are ready to refinance or purchasing a new home.  Credit Check is Required for a Pre-Approval)

By clicking “Request Pre-Approval”, you are requesting to be pre-approved. Pre-approved is an formal process that will allow the loan officer or lender to give you a copy of your credit report and qualify you for a refinance or purchase. Pre-Approvals are mostly required by real esate agents and does involve a check of your credit history. This option is generally best if you are ready to refinance or purchasing your new home..


_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Property Information
City:*
Phone:*
State:
Zipcode:
Pre-Qualification
Pre-Approval
Cardholder's Name

Billing Address

City

State

Zipcode

Type of Credit Card

Card Number

Expiration

CID

Borrower Date of Birth

Borrower Social Security

CoBorrower Date of Birth

CoBorrower Social Security



Note: There will be a $14 charge for credit reports and $18 charge for AVMs. (Appraisal Valuation Model) You will receive a copy of each ordered to your email address. Billing statement will read CTI (Credit Technology Incorporated)
*AMEX CID is on the front upper right side, others last three digits on back
Conventional or Jumbo
VA
FHA
HARP (Type Fannie or Freddie)
30 Year Fixed
15 Year Fixed
ARM : (Type)
Other: (Explain)
Purchase
Refinance No Cash Out
Refinance With Cash Out
Other (Explain)
Primary Residence
Secondary Residence (Vacation Home)
Investment (Rental)
YesNo
YesNo