Mortgage Prequalification Form

The process of home buying can often be expedited if you enter negotiations having already prequalified for your home loan. If you would like assistance in this, just complete the form below, and we will help you begin the process.

General Information: First Name Last Name Address 1 Address 2 City State Zip Country Home Area code Number Work Area code Number Fax Area code Number Email Income Yrs. in Profession Self Employed Yes No Co-Borrower Yes No Total Outstanding Debt Revolving: Installment: I am interested in the following: Purchasing Yes No Refinancing Yes No Refinance... Current Loan Type Fixed Rate Fixed, adjustable ARM Negative ARM Other Existing Principal Balance Current Interest Rate Secondary Financing ARM Index (if any) T-Bill 11th DCOFI LIBOR Other None Owner Occupied? Yes No Estimated Home Value     I need to refinance my existing loan(s) (rate and term) Yes No Credit Rating Excellent Good Fair: Poor Don't know Purchase... I am interested in buying a home and am looking for a suitable one. I am interested in buying a home, and I would like to find the loan I can qualify for. I want to be pre-qualified so that I can let my Realtor know what I can afford. I have found a home and I am ready to make an offer.   Purchase price range: Down payment range: Comments: Any pertinent information, i.e. purpose of refinancing or equity line, amount and source of funds for down payment for purchase, job history, bonuses, etc.