"Phil was thorough, knowledgeable, and his follow-up was exceptional! He always kept me informed on what was going on.
– David Tye

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GENERAL INFORMATION
If you wish to be pre-qualified for a mortgage, please complete the online form below then click on the submit button. If you do not have the information to complete a particular part of this application you may leave it blank. Complete information for both Borrower and Co-Borrower where applicable.

(*) INDICATES REQUIRED FIELDS (FOR BORROWER ONLY)

. Borrower* Co-Borrower (if any)
First Name & Middle Initial*
Last Name*
Social Security Number
Home Phone*
Daytime Phone*
Email Address*

Present Street Address*
City*
State & Zip*
Rent or Own?
Yrs. employed - current job
Yrs. employed in current profession
Self-employed? No Yes No Yes
Est. Monthly Payments on debts
I Authorize Credit Check No Yes No Yes
MONTHLY INCOME INFORMATION
Borrower Co-Borrower (if any)
Base Employment Income*
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income
Other**
*Self-employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
**NOTICE: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan.

PROPERTY INFORMATION
Purpose of Loan:
Property will be:
No. of Units:
Year property was built:
Property Street Address
Property City
Property State & Zip
Property Value
LOAN INFORMATION
Loan Amount Requesting:
Est. funds available for down payment, closing costs, reserves, etc.
No. of Years:
Loan Type:
Interest Rate Expected: %

How Did you find this site?
Additional Questions/Comments:
(Please express here any additional information that would help me assist you better.)

 

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