Pre-Qualification Application

Pre-Qualification Application

Please complete each section of this loan as it applies to you the "Borrower" and "Co-Borrower". This form is located on our Secure Server and is encrypted to protect your privacy!! Should you prefer to fax or mail this form to us please use the PDF version. If you have any questions please contact us at (858) 438-0414 or email dsilvett@aol.com

Pre-Qualification/Authorization Form

Borrower Co-Borrower

Name (include Jr. or Sr. if applicable):
Name (include Jr. or Sr. if applicable):

Social Sec. No.:
Home Phone:
Social Sec. No.:
Home Phone:

Present Address:
(at least one month) Present Address:
(at least one month)

Street:
Street:

City:
City:

State:
Zip:
State:
Zip:

Own
Rent No. Yrs. Own
Rent No. Yrs.

Former Address: Former Address:

Street:
Street:

City:
City:

State:
Zip:
State:
Zip:

Own
Rent No. Yrs.: Own
Rent No. Yrs.:

Name of Employer:
Name of Employer:

Attn:
Attn:

Address:
Address:

City:
City:

State: Zip: State: Zip:

Self-employed:
Yes No Self-employed:
Yes No

Yrs. with current employer:
Yrs. with current employer:

Base Pay per month:
$ Base Pay per month:
$

Additional Pay (monthly):
$ Additional Pay (monthly):
$

Do you have a car:
loan lease
none/paid-off Do you have a car:
loan lease
none/paid-off

Monthly payment(s) on car: $ Monthly payment(s) on car: $

Do you pay child support/alimony?
Yes No Do you pay child support/alimony?
Yes No

If "yes" how much per month: $ If "yes" how much per month: $

Are you selling a home?
Yes No Are you selling a home?
Yes No

Estimated equity in house: $ Estimated equity in house: $

Is any debt being paid off?
Yes No Is any debt being paid off?
Yes No

If "yes" how much per month: $ If "yes" how much per month: $

What is the estimated sales price of the home you are purchasing: $

What is your estimated loan amount:
$

What type of property are you buying (SFR, condo, PUD):

What is your source of funds for your down payment:

We hereby give our consent to have our lender/broker, or any credit reporting bureau which it may designate, obtain any and all information concerning our employment and all other credit matters which they may require in connection with our application for a loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the orginal which we have signed.

Borrower Signature (enter full name)

[By entering your name in the box above you are signing this electronic document]

Co-Borrower Signature (enter full name)

[By entering your name in the box above you are signing this electronic document]

Congratulations! You have now completed the on-line pre-qualification application. We appreciate the time you have spent - it will result in reduced processing time beyond this point.
When you have verified your information entered and are ready to submit it to us, please click on the submit button below.

Click here when done

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Borrower		Co-Borrower
Name (include Jr. or Sr. if applicable):		Name (include Jr. or Sr. if applicable):
Social Sec. No.:	Home Phone:	Social Sec. No.:	Home Phone:
Present Address: (at least one month)		Present Address: (at least one month)
Street:		Street:
City:		City:
State:	Zip:	State:	Zip:
Own Rent	No. Yrs.	Own Rent	No. Yrs.
Former Address:		Former Address:
Street:		Street:
City:		City:
State:	Zip:	State:	Zip:
Own Rent	No. Yrs.:	Own Rent	No. Yrs.:
Name of Employer:		Name of Employer:
Attn:		Attn:
Address:		Address:
City:		City:
State:	Zip:	State:	Zip:
Self-employed: Yes No		Self-employed: Yes No
Yrs. with current employer:		Yrs. with current employer:
Base Pay per month: $		Base Pay per month: $
Additional Pay (monthly): $		Additional Pay (monthly): $
Do you have a car: loan lease none/paid-off		Do you have a car: loan lease none/paid-off
Monthly payment(s) on car: $		Monthly payment(s) on car: $
Do you pay child support/alimony? Yes No		Do you pay child support/alimony? Yes No
If "yes" how much per month: $		If "yes" how much per month: $
Are you selling a home? Yes No		Are you selling a home? Yes No
Estimated equity in house: $		Estimated equity in house: $
Is any debt being paid off? Yes No		Is any debt being paid off? Yes No
If "yes" how much per month: $		If "yes" how much per month: $
What is the estimated sales price of the home you are purchasing: $
What is your estimated loan amount: $
What type of property are you buying (SFR, condo, PUD):
What is your source of funds for your down payment:
We hereby give our consent to have our lender/broker, or any credit reporting bureau which it may designate, obtain any and all information concerning our employment and all other credit matters which they may require in connection with our application for a loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the orginal which we have signed. Borrower Signature (enter full name) [By entering your name in the box above you are signing this electronic document] Co-Borrower Signature (enter full name) [By entering your name in the box above you are signing this electronic document]