Required (*) Questions   Welcome to our express loan pre-qualification process. You will be contacted soon after completing this form by a representative of our mortgage affiliate who will discuss your loan opportunities with you, and provide you with a free pre-approval letter that is required to make an offer on virtually all houses. Indicates required field (*) Borrower Informaiton Co-Borrower Informaiton U.S. State* AL-Alabama AK-Alaska AZ-Arizona AR-Arkansas CA-California CO-Colorado CT-Connecticut DC-Washington D.C. DE-Delaware FL-Florida GA-Georgia HI-Hawaii ID-Idaho IL-Illinois IN-Indiana IA-Iowa KS-Kansas KY-Kentucky LA-Louisiana ME-Maine MD-Maryland MA-Massachusetts MI-Michigan MN-Minnesota MS-Mississippi MO-Missouri MT-Montana NE-Nebraska NV-Nevada NH-New Hampshire NJ-New Jersey NM-New Mexico NY-New York NC-North Carolina ND-North Dakota OH-Ohio OK-Oklahoma OR-Oregon PA-Pennsylvania PR-Puerto Rico RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VT-Vermont VA-Virginia WA-Washington WV-West Virginia WI-Wisconsin WY-Wyoming U.S. State AL-Alabama AK-Alaska AZ-Arizona AR-Arkansas CA-California CO-Colorado CT-Connecticut DC-Washington D.C. DE-Delaware FL-Florida GA-Georgia HI-Hawaii ID-Idaho IL-Illinois IN-Indiana IA-Iowa KS-Kansas KY-Kentucky LA-Louisiana ME-Maine MD-Maryland MA-Massachusetts MI-Michigan MN-Minnesota MS-Mississippi MO-Missouri MT-Montana NE-Nebraska NV-Nevada NH-New Hampshire NJ-New Jersey NM-New Mexico NY-New York NC-North Carolina ND-North Dakota OH-Ohio OK-Oklahoma OR-Oregon PA-Pennsylvania PR-Puerto Rico RI-Rhode Island SC-South Carolina SD-South Dakota TN-Tennessee TX-Texas UT-Utah VT-Vermont VA-Virginia WA-Washington WV-West Virginia WI-Wisconsin WY-Wyoming Employment Information Employment Information Years At Job* 0-2 Years 2-5 Years 5-10 Years Over 10 Years Years At Job 0-2 Years 2-5 Years 5-10 Years Over 10 Years How soon do you plan to purchase your home? Time Frame* This Month Next Three Months Next Six Months Next Year Financial Information (Please include co-borrower information if applicable) How are you primarily paid? Pay Type* Hourly Salary Commission Self Employed How is co-borrower paid (if applicable)? Pay Type Hourly Salary Commission Self Employed What is your total annual income? (sum for all borrowers) What are the total assets available to buy this home? Of this amount, how much will be used for a down payment? What is your total monthly minimum debt payment? (sum for all borrowers) Do not include your current rent or mortgage payment if you will sell your home in order to purchase your new home. Review of your credit report will allow us to provide you with the most accurate assessment of your financial position and the best loans available for you. I/We give authorization to run my/our credit report for the purposes of obtaining a Mortgage for the Purchase of real estate. Yes No If yes please include: Borrower (mo/day/year) Co-Borrower (mo/day/year) How Did You Find Us?* Radio Ad Newspaper Ad Flyer/Handout Internet Search Referral Other

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