Pre-Qualification Form

 

Your personal information is secure. We use Secure Socket Layer Technology on our site, which encrypts all information that you provide us. Your personal financial information is only used for loan processing, and we will not sell, trade or rent your personal financial information to any other entity.

 

Please complete as much information below as possible.  Once you click on submit, I'll be notified of your submission and will review your application right away.  Be sure to include your phone and email so I may contact you should I have any questions or need more information.  Thanks, - Bob

 
Step1. Tell us about you.   (* indicates required fields)
Borrower Information Co-Borrower Information (if any)
What is the   Borrowers Name? What is the Co-Borrowers Name?
Title Title
First* First
Last* Last
Middle Middle
What is the Borrowers Address? What is the Co-Borrowers Address?
Street Street
City City
State State
Zip Zip
What is your Social Security number/Age? What is your Social Security number/Age?
SSN# SSN#
Age   Age
What are your telephone numbers?
Home Home
Work Work
Step2. Tell us about your employment.
Borrower Co-Borrower
Self Employed?   Self Employed?  
Employer    Employer   
Monthly Income $ Monthly Income $
Overtime $ Overtime $
Bonuses $ Bonuses $
Commissions $ Commissions $
Other $ Other $
Step3. Tell us about your assets/liabilities. 
Borrower Co-Borrower
Assets: Assets:
Checking $ Checking $
Savings $ Savings $
CD's/Stocks/Bonds $ CD's/Stocks/Bonds $
401K's/IRA's $ 401K's/IRA's $
Combined Monthly Liabilities
Type   Monthly Payment   Unpaid Balance
Credit Cards $ $
Auto Loans $ $
Other Loans $ $
Child Support $ $
Step4. Tell us about your situation.   
What is the property address?
Street Number of Units:
City Occupancy Type:
State Estate Held:
Zip Property Value:
What is the type of mortgage loan?
What is the purpose of this loan?
If you selected "Refinance", what is the purpose?
If you selected "Other", please explain.
What is the desired loan amount? $
What is the estimated purchase price? $
What is the estimated down payment amount? $
If refinance, what is the total owed on home? $
What is the length of your requested loan in months?  
Amortization Type:  
Other Information.   
 Which describes your situation?

I have found a realtor. 

  Additional Comments: 
Agents Name
Agent Company
Phone Number

I need a realtor, please have one contact me.
Authorization to check credit verification
Yes   No
By selecting "YES" to this radio button, I/WE hereby authorize Residential First Mortgage to order a consumer credit report to verify credit and other information pertaining to pre-qualification. The information that Residential First Mortgage obtains is only to be used for mortgage pre-qualification purposes.
Email Address*