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Online Loan Prequalification Form

 

This form can be used for purchasing a home or refinancing your current mortgage.

 

Loan Amount: 
Type of Loan:   Purchase
 Refinance
 Second Home
 Income Property
 Commercial
Type of Financing:   Conventional Fixed
 Conventional Adjustable Rate

Customer Information
Borrower: 
Co-Borrower: 
Email Address:   format - test@test.com
Current Sreet Address: 
City: 
State: 
Zip Code: 
Home Phone:   format - (xxx) xxx-xxxx
Work Phone:   format - (xxx) xxx-xxxx

Property Information
Purchase Price
(Current Value of Property if refinance): 
Cash Down payment
(if Purchase): 
Property Address: 
Property City: 
Property State: 
Property Zip Code: 
Property Type:   Single Family
 Condo/Townhouse
 Multi Family
 Apartment Building
 Mixed Use
 Light Industrial
 Office Building
 Shopping Center
Will you occupy the property?   Yes   No
If purchasing, do you have a Realtor® with whom you are working?   Yes   No
Would you like for us to find a Realtor® who specializes in your area?   Yes   No

Credit Information
How would you rate your Credit?   Excellent
 Good
 Fair
 Poor
Borrower Employment Status:   Salaried/Hourly   Self Employed
Co-Borrower Employment Status:   Salaried/Hourly   Self Employed
Borrower Employer: 
Number of Years with Company: 
Borrower Gross Monthly Income: 
Liquid Assets (include checking, savings, stocks, mutual funds etc.): 
Co-Borrower Employer: 
Number of Years with Company: 
Co-Borrower Gross Monthly Income: 
Co-Borrower Liquid Assets (include checking, savings, stocks, mutual funds etc.): 

If Refinancing Answer the following:
If refinancing, enter outstanding balance owed: 
What is your Current Interest Rate? 
Type of Current Loan:   Conventional
 FHA
 VA
 Other
Current Monthly Payment (excluding taxes): 
Do you currently have Mortgage Insurance?  Yes   No
Do you have a Second Mortgage or a line of credit on the Subject Property?  Yes   No
Do you want to keep this loan or consolidate it with the first mortgage?  Yes   No
Any additional comments or questions? 
*privacy policy
This form is not to be considered a formal loan application, but the information gathered here will be used to determine our estimate of the borrower's qualification to obtain a mortgage loan.

 
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Tri-State Mortgage, LLC
 
12625 E. Euclid Drive | Centennial | Colorado | 80111 | p. 303.369.8000 | f. 720.367.5332 | e. info@tristatemortgage.net
 
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