PRE-QUALIFICATION FORM
Page secured with 256 bit encryption
BORROWER
Name:
Address 1:
Address 2:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Employer
Position:
Years Employed:
CO-BORROWER
(Optional)
Name:
Address 1:
Address 2:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Employer
Position
Years Employed:
Financial Information
Checking/Savings:
Stocks/Bonds:
IRA/401K/TSP:
Real Estate Value:
Other Assets:
Zip Code:
Social Sec. #:
Home Phone:
Work Phone:
E-mail Address:
Gross Monthly Income:
Other Income:
Zip Code:
Social Sec #:
Home Phone:
Work Phone:
E-Mail Address
Gross Monthly Income:
Other Income:
Mortgage or Rent:
payment
balance
Installment Loans:
payment
balance
Credit Cards:
payment
balance
Car Loans:
payment
balance
Alimony/Child-Support:
payment
Other Liabilities:
payment
balance
What Properties are you interested in?
(check all that apply):
Unit 1: 891 sq. ft.
Unit 2: 1,093 sq. ft.
Unit 3: 1,172 sq. ft.
Unit 4: 933 sq. ft.
Unit 5: 933 sq. ft.
Unit 6: 1,347 sq. ft.
Unit 7: 926 sq. ft.
Unit 8: 719 sq. ft.
Unit 9: 1,242 sq. ft.
How did you hear about us?
Newspaper/Magazine Ad
Brochure
Media Coverage
TV
Website
Other
COMMENTS: