This pre-qualification form asks for only basic information that will enable our one of our Loan Officers to offer you professional opinions about your qualifying for a mortgage. This is not an application for a full "Mortgage Approval" nor is it an application for "Pre-Approval". The pre-qualification form below will serve as a starting point for a loan officer to consult with you about options. If you wish to apply for "Mortgage Approval" or get "Pre-Approved" for financing before you find a new home click hereIf you simply want to be pre-qualified for a mortgage (purchase or refinance) , please provide the information below. When you are finished make sure to click on the submit button. Please try and be as thorough as possible as it will help to expedite your request. If you do not have the information to complete a particular part of this form you may leave it blank and we will contact you with any missing information that we need
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Purpose of this Loan
Select One Purchase Refinance Cash Out Refinance Equity Line Account Construction Loan Construction-Permanent Loan Other
Occupancy will be
Select One Primary Residence Second Home- Investment Property (Rental)
Number of units
Select One Single Family Residence Condominium or Townhouse Duplex Triplex Fourplex More than 4 Units
Property Information
Property Address- Street
City, State, Zip Code
County
Select One Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade DeSoto Dixie Duval Escambia Flagler Franklin Gadsden Gilchrist Glades Gulf Hamilton Hardee Hendry Hernando Highlands Hillsborough Holmes Indian River Jackson Jefferson Lafayette Lake Lee Leon Levy Liberty Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Putnam St Johns St Lucie Santa Rosa Sarasota Seminole Sumter Suwannee Taylor Union Volusia Wakulla Walton Washington
Property Value/Sales Price
Loan Amount
Loan Term
Select One 30 Years 15 Years 10 Years 20 Years 25 Years 40 Years
Loan Type
Select One Fixed Rate Adjustable Rate 3/1 ARM 5/1 ARM 7/1 ARM 10/1 ARM 5 Year Balloon 7 Year Balloon GPM (Graduated Payment Mortgage) Other
Interest Rate Expected
Borrower Information
Borrower
Co-Borrower
First Name
Last Name
Social Security Number
Home Phone
Work Phone
E-mail Address
Current Residence & Employment Information
Present Address- Street
City
State Zip Code
Do you Rent or Own?
Select One Rent Own
Years at Your Current Job
Years in This Profession
Are You Self Employed?
Select One No Yes
Monthly Income Information
Gross Monthly Income
Base Employment Income *
Overtime
Bonus
Commissions
Dividends/Interest
Net Rental Income
Other Income
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements
Monthly Debt Information
Total Credit Card Balances
Total Installment Loan Payments (Cars, and all other Personal Loans)
Current Mortgage Information
1st Mortgage Balance
Current Interest Rate
Monthly Payment (Principle & Interest)
Fixed Rate or Adjustable
2nd Mortgage Balance
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