PreQualify Online Pre-Qualify Step 1 of 3 33% Borrower Information SectionName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Birthdate* Date Format: MM slash DD slash YYYY Home Phone*Work PhoneEmail* Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Do You*OwnRentHow Many Years?Co-Borrower Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Co-Borrower BirthDate Date Format: MM slash DD slash YYYY Contact Notes Loan Information SectionLoan Purpose*I would like to purchase a home and do not have an accepted contractI am purchasing a home and have an accepted contract with a sellerI would like to reduce the interest rate, change loan type or term or consolidate the existing loans(s) on my homeI would like to refinance my current balance and take cash out with this loanI would like to obtain a second mortgage or equity line on my homeTarget RateLoan ProgramConforming 30Conforming 15Conforming 5/1FHA 30FHA 15FHA 5/1Jumbo 30Jumbo 15Jumbo 5/1Rural DevelopmentVA 30VA 15Purchase PriceDown PaymentRefinance Information SectionAmount of Non-Mortgage debt to be paid off1st Mortgage Balance1st Mortgage Rate1st Mortgage Payment2nd Mortgage Balance2nd Mortgage Rate2nd Mortgage PaymentAdditional Cash DesiredMortgage NotesProperty Information SectionStateArizonaCaliforniaColoradoNebraskaNew MexicoOregonTexasWashingtonWyomingOccupancyPrimary Residence / Owner OccupiedInvestment PropertySecond HomeProperty TypeSingle Family HomeCondominiumNon-Conforming UseCommercialCondotelMultifamily - Two UnitsMultifamily - Three UnitsMultifamily - Four UnitsLand Income Information SectionAlimony, child support and separate maintenance income need not be revealed if you choose not to have it considered.Borrower - Number of Years on the JobBorrower - Income Type-- Please Select --HourlyCommissonBonus and OvertimeSelf Employed - Schedule CSelf Employed - CorporationPart Time / Second JobNote IncomeSalaryRental IncomeRetirementSocial SecurityAlimony / Child SupportCapitol GainsChild SupportEmployer AllowancesUnemploymentBorrower - Gross Monthly IncomeCo-Borrower - Number of Years on the JobCo-Borrower - Income Type-- Please Select --HourlyCommissonBonus and OvertimeSelf Employed - Schedule CSelf Employed - CorporationPart Time / Second JobNote IncomeSalaryRental IncomeRetirementSocial SecurityAlimony / Child SupportCapitol GainsChild SupportEmployer AllowancesUnemploymentCo-Borrower - Gross Monthly IncomeOther - Number of Years on the JobOther - Income Type-- Please Select --HourlyCommissonBonus and OvertimeSelf Employed - Schedule CSelf Employed - CorporationPart Time / Second JobNote IncomeSalaryRental IncomeRetirementSocial SecurityAlimony / Child SupportCapitol GainsChild SupportEmployer AllowancesUnemploymentOther - Gross Monthly IncomeCan all borrowers verify income?YesNoIncome NotesAsset Information SectionLiquid AssetsReal Estate Net ProceedsGift MoneyStocks & BondsRetirementCredit Information SectionBorrower - Social Security NumberCo-Borrower - Social Security NumberTell us a little about your credit history?May we access your credit report to help determine your qualifications for a loan?YesNoTotal Monthly DebtUpload Documentation Drop files here or Please upload recent, pay stubs, recent W-2/1099's, and bank statements for verification and review.Each applicant specifically acknowledges and agrees that: 1) the loan requested by this pre-qualification will be secured by a first or second mortgage or deed of trust on the property described herein; 2) all statements made in this pre-qualification are made for the purpose of obtaining the loan indicated herein 3) occupancy of the property will be as indicated above 4) verification or reverification of any information contained in the pre-qualification may be made at any time by the Lender, its agents, successors and assignees, either directly or through a credit reporting agency, from any source named in this pre-qualification, and the original copy of this pre-qualification will be retained by the Lender, even if the loan is not approved 5) the Lender, its agents, successors and assignees will rely on the information contained in the pre-qualification and I/we have a continuing obligation to amend and/or supplement the information provided in this pre-qualification if any of the material facts which I/we have represented herein should change prior to closing 6) ownership of the loan may be transferred to successor or assignees of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assignees of the Lender prior notice to me 7) the Lender, its agents, successors and assignees make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property. Certification I/We certify that the information provided in this pre-qualification is true and correct as of the date submitted and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this pre-qualification may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 10001, et seq. a liability for monetary damages to the Lender, its agents, successors and assignees, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this pre-qualification.