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Prequalification Form Please fill out the following form in it's entirety to ensure accurate information is received and one of our representatives will be in contact with you. Borrowers Name CoBorrowers Name Current Mailing Address Best Phone Number To Reach You Best Time? E-mail Address I am interested in Purchase Refinance Estimated Value if Refinancing Purpose of Refincane? Cash on hand Lower rate same term Lower rate different term Debt Consolidation Estimated Purchase Price if Purchase Estimated Taxes Property Type Single Family 2-4 Family Condo Co-op Land Commercial Would you like to show your income? Yes No, I would like a no income check mortgage. If yes what did your last year's W2 Form Say? What is your current Gross pay? How long have you been employed at your current job? What is your job title? If self employed, for how long? How much money would you like to use if purchase? How much do you have in the bank? Did you have any large deposits in the last 60 days? If so, can you show a paper trail of where these funds were derived? Yes No n/a Rate Your Credit: Excellent Over 720 score Very Good 680-719 Good 660-679 Fair 620-659 Less than fair 580-619 Below 579 Is this a first or second mortgage? First Mortgage Second Mortgage Fixed Second Mortgage Home Equity What programs are you interest in? I would like to see several options. 25 or 30 year fixed rate 20 year fixed rate 10 or 15 year fixed rate 3 year ARM 5 year ARM 7 year ARM 10 year ARM Other Would you like an interest only option? Yes No Add me to your email list
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