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FREE Pre-Qualification Online

 

Referred by:
 
Purchase or Refinance:
 


Date:
   
Please select the name of your loan originator:
  
     

About You

   
Applicant's Full Name:
 
Social Security Number:
 
Date of Birth:
   ,
Years in School:
  
Marital Status:
  
Number of Dependents:
   Ages:
Phone Number - Work:
  -
Phone Number - Home:
   -
Phone Number - Cell:
   -
email Address:
 
   
Address:
 
City, State, ZIP:
  ,
Length of time at this address:
 
   
Monthly Rent or Mortgage Payment:
     
   (If not at least two years, please continue with previous address.)
Previous Address:
 
City, State, ZIP
   ,
Length of time at this address:
  
   
   

About Your Co-applicant

   
Co-applicant's Name:
 
Social Security Number:
 
Date of Birth:
   ,
Years in School:
  
Marital Status:
  
Number of Dependents:
   Ages:
Phone Number - Work:
   -
Phone Number - Home:
   -
email Address:
  
   
Address:
 
City, State, ZIP:
  ,
Length of time at this address:
 
   
Monthly Rent or Mortgage Payment:
     
   (If not at least two years, please continue with previous address.)
Previous Address:
 
City, State, ZIP
   ,
Length of time at this address:
  
   
 

Work History - (Cover Two (2) Year Period)
     
   
(1) Applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
(2) Applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
(3) Applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
     
   
(1) Co-applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
     
(2) Co-applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
Co-applicant Employed by:
 
Time Period:
 
Position/Type of Business:
  
Phone:
  
Employer's Address:
 
City, State, ZIP:
  ,
     
     

Gross Monthly Income
   
Borrower:
  Paid By:
Overtime Average:
 
Commission:
  
Total:
  
     
Co-borrower:
  Paid By:
Overtime Average:
  
Commission:
  
Total:
 
 
 

Assets (Borrower)

     
Savings Balance:
  Bank Name:
Account Number:
    
Checking Balance:
  Bank Name:
Account Number:
    
     
401K and/or IRA Balance:
  Bank Name:
Account Number:
    
     
Other (i.e. tax refund, etc.):
 
Gift:
 
Total:
 
   
 

Assets (Co-Borrower)

     
Savings Balance:
  Bank Name:
Account Number:
    
Checking Balance:
  Bank Name:
Account Number:
    
     
401K and/or IRA Balance:
  Bank Name:
Account Number:
    
     
Other (i.e. tax refund, etc.):
 
Gift:
 
Total:
 
 

Debts
     
Alimony/Child Support:
 
Child Care (VA only):
 
Debts:
  
Amount
 
 
 
 
 
 
 
Total:
 
     
  Borrower: Co-borrower:
Are you a Veteran?
  
Do you have VA eligibility?
  
Have you owned a house
in the past 3 years?
 
Have you been bankrupt?
 
If so, was it Chapter 7 or 13?
 
When was it filed:
 
When was it discharged?
 
Are you a party to a lawsuit?
  
Do you have collections, judgments, or write-offs?
 
     
What is your race?
 
Are You a Citizen of the United States?
Do you own Real Estate other than your home?
 
If so, please provide the address, type of property, value, amount of mortgage, and mortgage payment:
 
Is part of the down payment borrowed?
Are you co-maker on a note?  
Do you intend to occupy this property as your primary residence?
 
By submitting this form, I authorize Mortgage Investors Group (Lender) to order a consumer report and verify other credit information, including past and present mortgage and landlord references.
 
   
Items Needed
Last 2 Bank Statements/Last 2 Years W-2s/A current check stub (covering the most recent 30 day period)
 
Additional Items Needed** for Refinances

Copy of Title Insurance/Name and phone number for Homeowner's Insurance Agent
Closing Statement (FHA only)

For self employed person, two years of complete tax returns are needed.

What is the value of your present home, if applicable?

 
**We can give you an opinion without these items, but an official approval requires documentation.