Express Pre-Qualification Form
(yellow fields are required)
  
Step 1. Tell us about you.

  Borrower Information
 What is the Borrower's Name?
 Title
 First
 Middle
 Last
 What is your Social Security Number and Age?
 SSN#  Age
 Date of Birth
 Month:  Day:  Year: 
 What are your telephone numbers?
 Home
 Work
 What is the Borrower's current address?
 Rent  Own 
 Occupancy Years: Months:
 Street
 City
 State  
 Zip
What is the Borrower's former address?
 Rent  Own 
 Occupancy Years: Months:
 Street
 City
 State  
 Zip

  Co-Borrower Information (If any)

 What is the Co-Borrowers Name?
 Title
 First
 Middle
 Last
 What is your Social Security Number and Age?
 SSN#  Age
 Date of Birth
 Month:  Day:  Year: 
 What are your telephone numbers?
 Home
 Work
 What is the Co-Borrower's current address?
 Rent  Own 
 Occupancy Years: Months:
 Street
 City
 State  
 Zip
What is the Co-borrower's former address?
 Rent  Own 
 Occupancy Years: Months:
 Street
 City
 State  
 Zip
Step 2. Tell us about your situation.
 What is the property address?
 Street:
 City:
 State:
 Zip:

 Number of units:    
 Occupancy type:    
 Estate Held:    
 
What is the type of mortgage loan?
What is the Program Type?
What is the purpose of this loan?
 If you selected "Refinance", what is the purpose?
 If you selected "Other", please explain:

What is the appraisal value of the property? $ 
What is the desired loan amount? $ 
If purchase, what is the estimated purchase price? $ 
What is the estimated down payment amount? $ 
If refinance, what is the total owed on home? $ 
If refinance or construction, what is the property value? $ 
What is the length of your requested loan in months?
     
Step 3. Tell us about your employment.

 Borrower

 Current Employer:
 Self Employed?   Yes     No
 Employer:
 How Long (Yrs/Mths):    /
 Monthly Income: $
 Overtime: $
 Bonuses: $
 Commissions: $
 Other: $
 
 Previous Employer:
 Self Employed?   Yes     No
 Employer:
 How Long?      From: 
 (CCYYMMDD)          To: 
 Monthly Income:   $

  Co-Borrower
 Current Employer:
 Self Employed?   Yes     No
 Employer:
 How Long (Yrs/Mths):    /
 Monthly Income: $
 Overtime: $
 Bonuses: $
 Commissions: $
 Other $
 
 Previous Employer:
 Self Employed?   Yes     No
 Employer:
 How Long?      From: 
 (CCYYMMDD)          To: 
 Monthly Income:   $
Step 4. Tell us about your assets/liabilities.
  Borrower Assets
 
 Checking: $
 Savings: $
  $
 401K's/IRA's $
   Co-Borrower Assets
 
 Checking: $
 Savings: $
  $
 401K's/IRA's $
 
 Combined Monthly Liabilities
 Type Monthly Payment  Unpaid Balance 
 Rent: $ 
 Credit Cards: $  $ 
 Auto Loans: $  $ 
 Other Loans: $  $ 
 Child Support: $ 
Other Information
 Which describes your situation?
  I am working with a real estate agent.
  Yes    No 		 Additional Comments:
 Agents Name:
 Company:
 Phone Number:
 
* I/We (borrower[s] named herein) understand that this form is for pre-qualification only and is not an application.
Authorization to check credit verification
You understand that by selecting the YES radio button immediately following this notice you are providing written instructions to Aspiring Mortgages Solutions under the Fair Credit Reporting Act authorizing Aspiring Mortgages Solutions to obtain information from your personal credit profile or other information from the credit bureau. You authorize Aspiring Mortgages Solutions to obtain such information solely in accordance with a Mortgage Loan Application.

YES     NO
 
 Email Address: