PreQualify Online Pre-Qualify Step 1 of 3 33% Borrower Information SectionPlease select your Mortgage Consultant from the list below* Dorothy Chiappe Craig Nelson I'm not sure HiddenPlease select your Mortgage Consultant from the drop down menu.(Depricated)I'm not sureDorothy ChiappeCraig NelsonName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Birthdate* MM slash DD slash YYYY Home Phone*Work PhoneEmail* Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican 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 RicoQatarRomaniaRussiaRwandaRéunionSaint 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 IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do You* Own Rent How Many Years? Co-Borrower Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Co-Borrower BirthDate MM slash DD slash YYYY Contact Notes Loan Information SectionLoan Purpose* I would like to purchase a home and do not have an accepted contract I am purchasing a home and have an accepted contract with a seller I would like to reduce the interest rate, change loan type or term or consolidate the existing loans(s) on my home I would like to refinance my current balance and take cash out with this loan I would like to obtain a second mortgage or equity line on my home Target Rate Loan ProgramConforming 30Conforming 15Conforming 5/1FHA 30FHA 15FHA 5/1Jumbo 30Jumbo 15Jumbo 5/1Rural DevelopmentVA 30VA 15Purchase Price Down Payment Refinance Information SectionAmount of Non-Mortgage debt to be paid off 1st Mortgage Balance 1st Mortgage Rate 1st Mortgage Payment 2nd Mortgage Balance 2nd Mortgage Rate 2nd Mortgage Payment Additional Cash Desired Mortgage 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 Job Borrower - 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 Income Co-Borrower - Number of Years on the Job Co-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 Income Other - Number of Years on the Job Other - 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 Income Can all borrowers verify income? Yes No Income NotesAsset Information SectionLiquid Assets Real Estate Net Proceeds Gift Money Stocks & Bonds Retirement Credit Information SectionBorrower - Social Security Number Co-Borrower - Social Security Number Tell us a little about your credit history?May we access your credit report to help determine your qualifications for a loan? Yes No Total Monthly Debt DRIVERS LICENSE OR GOVERNMENT PHOTO ID Drop files here or Select files Max. file size: 29 MB. PAYSTUBS Drop files here or Select files Max. file size: 29 MB. Please upload recent, pay stubs, recent W-2/1099's, and bank statements for verification and review.W-2’s Drop files here or Select files Max. file size: 29 MB. Please upload recent, pay stubs, recent W-2/1099's, and bank statements for verification and review.W-2’s Drop files here or Select files Max. file size: 29 MB. Please upload recent, pay stubs, recent W-2/1099's, and bank statements for verification and review.ADDITIONAL INCOME INFORMATION Drop files here or Select files Max. file size: 29 MB. Please upload any additional income documentation or other documents which may be pertinent to pre-qualifying.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.