The 125Loan, Second Mortgage &
Home EquityLoan Prequalification Form |
Pleaseuse your initials or first name with last initial if you wish to remainanonymous.
We do notask for account or social security numbers, or check credit at this stage.
If unsureabout an answer please leave it blank. Thanks!
This formwill take about 3 minutes to complete. |
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| LOANINFORMATION: |
| Whatis the loan amount requested? | |
| Typeof loan requested? | |
| Ifother, please describe: | |
| Isthis loan being used to pay off an existing first or second mortgage? | |
| What is the purposeof the loan? | |
| Ifother, please describe: | |
| Whatis the term desired? | |
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| EXISTINGFIRST MORTGAGE: |
| Whatis the type of the first mortgage? | |
| Whatwas the original loan amount? | |
| Whatis the estimated loan balance? | |
| Whatwas the original loan term? | |
| Isthis a fixed rate mortgage? | |
| Whatis the interest rate? | |
| Whatis your current mortgage payment? | |
| Doesyour current mortgage payment include taxes? | |
| Doesyour current mortgage payment include insurance ? | |
| Isthere any subsidy or recapture? | |
| Inthe past 12 months, how many times has your mortgage payment been morethan 30 days late? | |
| Hasyour mortgage payment been more than 60 days past due in the last 24 months? | |
| Havethere been any other payments (car, credit card, etc.) more than 30 dayspast due in the last 12 months? | |
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| PROPERTYINFORMATION: |
Propertyaddress:
(You may just type in the countyif you choose). | |
| State (Required): | |
| Typeof property: | |
| Ifother, describe: | |
| Whatis the estimated market value? | |
| Whatwas the original purchase price? | |
| Propertyuse: | |
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| BORROWER'SINFORMATION: |
| Borrower's nameor initials (Required): | |
| Borrower'saddress (optional): | |
| How long haveyou lived at this address? | |
| E-mail Address(Required): | |
| Daytime phone(optional): | |
| Evening phone(optional): | |
| Whatis your yearly gross income from all sources (before taxes)? | |
| Willyou document your income (provide pay stubs, w-2's, tax returns)? | |
| Wouldyou prefer to state your income or use a no doc program? | |
| Areyou self-employed? | |
| Ifself-employed, for how many years? | |
| Rateyour credit: | |
| Whatis your credit score (if known)? | |
| Haveyou filed bankruptcy in the last 7 years? | |
BORROWER'STOTAL MONTHLY DEBTS
(less credit cards and debt beingpaid off by this loan): |
| Caror other installment: | |
| Studentloans: | |
| Other(child support, garnishments, etc.): | |
| BORROWER'SCREDIT CARDS: |
| Totalestimated balance (not including those paid in full each month or beingpaid off by this loan): | |
| Monthlypayment amount (not including those paid in full each month or being paidoff by this loan): | |
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| CO-BORROWER'SINFORMATION: |
| Co-borrower'sname or initials: | |
| Co-borrower'saddress (optional): | |
| How long haveyou lived at this address? | |
| E-mail: | |
| Daytime phone(optional): | |
| Evening phone(optional): | |
| Whatis your yearly gross income from all sources (before taxes)? | |
| Willyou document your income (provide pay stubs, w-2's, tax returns)? | |
| Wouldyou prefer to state your income or use a no doc program? | |
| Areyou self-employed? | |
| Ifself-employed, for how many years? | |
| Rateyour credit: | |
| Whatis your credit score (if known)? | |
| Haveyou filed bankruptcy in the last 7 years? | |
CO-BORROWER'STOTAL MONTHLY DEBTS
(less credit cards and debt beingpaid off by this loan)
Please do not include joint accountsalready listed in borrower section: |
| Caror other installment: | |
| Studentloans: | |
| Other(child support, garnishments, etc.): | |
CO-BORROWER'SCREDIT CARDS
Please do not include joint accountsalready listed in borrower section: |
| Totalestimated balance (not including those paid in full each month or beingpaid off by this loan): | |
| Monthlypayment amount (not including those paid in full each month or being paidoff by this loan): | |
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| ADDITIONALINFORMATION: |
| Pleaseprovide any additional information that will help us assist you: |
| Howdid you find our website (which search engine or other source)? | |
| Pleasecontact theatthe above. |
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