| This form is designed to provide us with the basic information we may need to pre-qualify you for a home mortgage. If you have any questions about this form please contact us. Thanks
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| SHORT FORM PRE-QUALIFICATION LOAN APPLICATION |
| Information about yourself: |
| Name: | |
| Street Address: | |
| City: | |
| State: | |
| Zip: | |
| E-mail: | |
| Telephone: | |
| Information about Income and Expenses: |
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| Gross/Income: | |
| Other Income: | |
| Total Monthly Debt Payments: | |
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Monthly debt includes items you are paying on such as credit cards, automobiles, loans, etc. It should not include utilities (lights, gas, water) |
| Other information: | |
| Which best describes your current situation?: |
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| I am interested in qualifying for the following amount: |
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| Down Payment: |
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| Additional Comments: |
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| Thanks for completing our application. You will hear back from us soon!
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