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Pre-Qualification Worksheet

Fill out this easy form and you'll be one step closer to your new Home, Mortgage, or Home Equity Credit Line.

    
Borrower Information
       
Referred By:
Phone#:
Date:
Full Name:
Email:
Soc. Sec. #:
D.O.B:
Age:
Address:
City:
State:
Zip Code:
Phone # at Home:
Phone # at Work:
Yrs. At Current Address:
Position:
Mthly Salary/Commission:
Yrs Employed:
Yrs. employed in this line of work:
Other Income (Amount & Describe):
Yrs received:
    
Co-Borrower Information
       
Referred By:
Phone#:
Date:
Full Name:
Soc. Sec. #:
D.O.B:
Age:
Address:
City:
State:
Zip Code:
Phone # at Home:
Phone # at Work:
Yrs. At Current Address:
Position:
Mthly Salary/Commission:
Yrs Employed:
Yrs. employed in this line of work:
Other Income (Amount & Describe):
Yrs received:
Your Preferred monthly mortgage payment?
Available Assets/Money
       
Name of Institution:
Checking Account $:
         
Name of Institution:
Savings Account $:
   
Name of Institution:
Stocks/Bonds $
      
Available Gift Finds? $
Other $:
       
Monthly Obligations
      
Recurring Payments:
Student Loans:
Current Rent/Mortgage:
Other:
Child Support/Alimony
TOTAL MONTHLY DEBT:
      
Convenient time to call back to discuss loan options am/pm

In conjunction with my/our pre-qualification, I/we hereby authorize CrossLand Mortgage Corp to order a credit report, and verify the information contained herein, or otherwise related to my/our financial condition. This is not a loan application and no offer of credit is expressed or implied herein. Accordingly, this information will assist in determining the type of loan for which you are best suited for and at what cost.

Signature & Date Signature & Date
     

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