Buyers Prequalification form

Please answer as completely as you are able, and note that required fields are preceded by a red asterisk. If you know what your current credit scores are, (i.e. from Transunion, Equifax, or Experian), include these in the comments section near the bottom. Thank you for your time in completing our Secure mortgage request form. If you have any questions, please call us at (949) 440-3225.

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Property will be
No. of Units
Year Built
Subject Property Address
Street
City, State, Zip
County
Purchase price $
Do you have a purchase contract?
Current property value $
Loan Amount $
Your own funds available for downpayment * $
Downpayment funds from other sources * $
No. of Years
Loan Type

If the loan type is different from one of the above,
please state the loan type here :


Please complete for the borrower and co-borrower. (if any)
Borrower Co-borrower
First Name & Middle Initial


Last Name
Social Security Number
Home Phone *
Business Phone
E-mail address *
Co-Borrower's e-mail address


Please complete for the borrower and co-borrower (if any).
Borrower Co-borrower
Present Address - Street
Present Address - City, State, Zip
Rent or Own? No. of years No. of years
*Total Monthly Payments on debts
(do not include housing payments)
*Years employed at current job position
*Years employed in current profession
Are you self employed?
How would you rate your credit?*
How many times in the last year
have you been late on your mortgage?
Do you currently have open collection accounts?
Total dollar amount of unpaid collection accounts
including charge offs not included in a bankrupcty
Are you able to pay off these accounts?
Have you ever filed for bankruptcy?
If so, give month/year
Have you ever had a foreclosure?
If so, give month/year
If you had a bankruptcy, how many credit lines
have you reestalibshed? (Include joint accounts in your total)
Have you been on time with these accounts
after your bankruptcy?
What types of accounts have you reestablished?
(auto, credit cards, etc)

Select one of the following: (Borrower)
Select one of the following: (Co-Borrower)

Monthly Income Information
Gross Monthly Income Borrower Co-Borrower
Base Empl. Income
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income on
currently owned properties
Other income**

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
**Note: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

Please enter any comments or questions :





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