PREQUAL

WORKSHEET

 

Providing Mortgage Services in the States of

CALIFORNIA, OREGON & WASHINGTON

 

FIRST NAME:

LAST NAME:

ADDRESS:

CITY:    STATE:    ZIP CODE: 

SOCIAL SECURITY No.:

No. OF DEPENDENTS:

NAME OF EMPLOYER:

YRS. EMPLOYED: YRS. THIS WORK:

HOME PHONE: WORK PHONE:

EMAIL ADDRESS:

CO-BORROWER

FIRST NAME:

LAST NAME:

ADDRESS:

CITY:    STATE:    ZIP CODE: 

SOCIAL SECURITY No.:

No. OF DEPENDENTS:

NAME OF EMPLOYER:

YRS. EMPLOYED: YRS. THIS WORK:

HOME PHONE: WORK PHONE:

EMAIL ADDRESS:

GROSS MONTHLY INCOME

BORROWER: CO-BORROWER:

RENTAL INCOME: OTHER INCOME:

RENTAL DESCRIPTION:

VALUE TODAY: INTEREST RATE: BALANCE:

PROPERTY INFORMATION:

ADDRESS:

CITY:       STATE:          ZIP CODE: 

ORIG. COST: YEAR ACQUIRED:

VALUE TODAY: PROPERTY TYPE:

MOBILE HOME WIDTH: YEAR PERM. FOUNDATION:

MORTGAGE INFORMATION

FIRST TRUST DEED/TO WHOM OWED:

ORIG. LOAN AMT: CURRENT BAL: INTEREST RATE:

MONTHLY PAYMENT: PRE PAYMENT PENALTY:

SECOND TRUST DEED/TO WHOM OWED:

ORIG. LOAN AMT: CURRENT BAL: INTEREST RATE:

MONTHLY PAYMENT: PRE PAYMENT PENALTY:

THIRD TRUST DEED/TO WHOM OWED:

ORIG. LOAN AMT: CURRENT BAL: INTEREST RATE:

MONTHLY PAYMENT: PRE PAYMENT PENALTY:

AMOUNT OF CASH OUT WANTED:

REFI. PERPOSE

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