Mortgage Pre-Qualification Form
Applicant Information:
First Name & M.I.
Last Name
Co-Applicant Name
Street Address
City
State
--Please select one--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Email Address
Day Time Phone
Evening Phone
Best Time to Call
Social Security Number
(example: 222-55-8888)
Co-Applicant SS#
(example: 222-55-8888)
Loan Information:
Desired Loan Amount
I Currently
-- Please Select --
Own
Rent
-- Please Select --
None
Single Family
Condo
Townhouse
Investment
Apartment
Other
Monthly Payment
Annual Income
-- Please Select --
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
$50,000
$55,000
$60,000
$65,000
$70,000
$75,000
$80,000
$85,000
$90,000
$95,000
$100,000
$110,000
$120,000
$130,000
$140,000
$150,000
$160,000
$170,000
$180,000
$190,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$525,000
$550,000
$575,000
$600,000
$625,000
$650,000
$675,000
$700,000
$725,000
$750,000
My Credit History Is
-- Please Select --
Excellent
Good
Fair
Poor
Ever filed for bankruptcy?
-- Please Select --
No
Yes
If so, when:
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
New Property Information:
Type of Property
-- Please Select --
Single Family
Condo
Townhouse
Investment
Other
Estimated Purchase Price
New Property City & State
-- Select State --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Questions / Comments
I understand that by submitting this application that I am applying for a loan. This application is being used as a pre-qualification only and is not an application for credit.
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Copyright © 2004
• Turn Key Realty, Inc.
Phone: 1-800-510-8280
•
Fax: 1-561-792-0601
Email: info
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