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BROKER PRE-QUAL
* All Fields Required
Contact Information
Contact Name:
Account Executive:
-- Select --
Unspecified
Company Name:
Contact Phone:
Fax:
Contact Email:
FHA Approved Broker:
Yes
No
Loan Information
Borrower Name:
Sub Financing:
Yes
No
Loan Amount:
Escrows:
Yes
No
LTV:
%
CLTV:
%
1st Lien Purpose:
-- Select --
Purchase
Rate-Term Refinance
Cash-Out Refinance
Amortization Type:
-- Select --
30 Yr Fixed
40 Yr Fixed
ARM
30 Yr Fixed I/O
40 Yr Fixed I/O
ARM I/O
Other (Please Specify)
2nd Lien Purpose:
-- Select --
None
Purchase
Rate-Term Refinance
Cash-Out Refinance
Amortization Type:
-- Select --
HELOC
Fixed
Balloon
Fixed I/O
Balloon I/O
Other (Please Specify)
Documentation Type:
-- Select --
Full Documentation
Occupancy Type:
-- Select --
Primary Residence
2nd/Vacation Home
N/O/O - Investment
Primary FICO:
Co-Borrower:
Property Type:
-- Select --
Single Family
2 Unit
3-4 Unit
Lo-Rise Condominium
Hi-Rise Condominium
Townhouse/PUD
Manufactured Home
Value and/or Price
Actual
Estimate
------------------------------------------> $
DTI:
%
Any Mtg Lates in past 12 mo?
Yes
No
Derogatory Credit:
-- Select --
None
Bankruptcy
Foreclosure
Consumer Lates
Collections/Judgements
No. of trades X 12 mo.:
No. of trades X 24 mo.:
IF NON-OWNER, COMPLETE THE FOLLOWING
Negative Cash Flow:
Yes
No
No. of Properties Currently Financed:
Requested Price By Broker
Target Rate:
%
Requested YSP:
%
Additional Comments:
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