Pre-Qualify

Borrower information:

First Name (required):

Last Name (required):

Your Email (required):

Address:

City:

State:

Zip:

Birthday:

Contact me at (required):

Best time to call (required):

Home phone:

Cell phone:

Work phone:



Co-borrower information:

First Name (required):

Last Name (required):

Your Email (required):

Address:

City:

State:

Zip:

Birthday:

Contact me at (required):

Best time to call (required):

Home phone:

Cell phone:

Work phone:



Borrower Employment History

How long have you been employed/self-employed or enrolled in school full-time?:

Job type/title:



Borrower Household Gross Monthly Income

Hourly/salary (required):

Overtime:

Bonuses:

Commissions:

Dividends/interest:

Other income:

* Do Not Include Overtime, Bonus Or Commission If Received Less Than 18 Months

Co-borrower Employment History

How long have you been employed/self-employed or enrolled in school full-time?:

Job type/title:



Co-borrower Household Gross Monthly Income

Hourly/salary (required):

Overtime:

Bonuses:

Commissions:

Dividends/interest:

Other income:

* Do Not Include Overtime, Bonus Or Commission If Received Less Than 18 Months


Household Monthly Payments

Auto loans/leases:

Personal loans:

Student loans:

Other loans:

Minimum credit card payments:

Child support/alimony:

*Do Not Include Any Loans That Will Be Paid Off Within 10 Months After The Closing Of The Loan/home.

*Do Not Include Any Credit/charge Cards That Will Be Paid Off By The Closing Of Loan/home.



Credit History

Late PaymentsRepossessionsBankruptcyCollectionsForeclosureJudgments

Checking/Savings balance:

Retirement/401k Balance:



Questions/comments

*Please Add The Floor Plan, Community & Salesperson In The Questions/Comment Section.