Questions about your proposed transaction Borrower Co-Borrower Full Name Social Security No. Address City, State Zip Phone No. Home: Phone No. Work: Email Property Type: Single Family Condominium 2-4 Family PUD Manufactured Occupancy Status: Owner Occupied Non-Owner Occupied Loan Purpose: Purchase Refinance Purchase Transaction When do you expect to move in? 0-3 Months 3-6 Months 6-12 Months 12+ Months What is the estimated purchase price of the home? $ What is the desired loan amount? $ Are you a first time homebuyer? Yes No What best describes your credit history? Excellent Good Fair Poor Income How many borrowers will apply for this loan? 1 2 3 4 More Name of your Employer - Borrower: Name of your Employer - Co-Borrower: What is your monthly gross( pretax) combined income? $ Any of the income derived from (check all that apply) Self Employment Rental Income Commissions Investment Income Bonuses Alimony or child support Overtime Is there anything special about your household income that you would like to point out in greater detail? Assets Type of Account Balance $ $ $ $ Total liquid assets (i.e. checking & savings accounts, money market accounts, mutual funds, brokerage accounts) $ Debts What is the combined total of your monthly payments on credit cards, loans, auto leases and other consumer credit? $ * Do not include your mortgage or rent unless it will continue after you obtain financing. Do not include loans that will be paid off when your current home is sold. Pre-qualification: You have completed our simple Pre-qualification. This information has been designed to provide us with the minimum information required for a mortgage pre-qualification.    Licensed brokers with the Pennsylvania Department of Banking. Home | Products | Apply On line | Calculator | Contact Us Copyright 2007 Website Design and Hosting by WSI Internet Consulting & Education This site is optimized for Netscape 4 and Internet Explorer 5 or higher. Please download an updated version now.