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123PreQual.com
First Name:
Last Name:
Street Address:

City:
[State]:
Zip Code:
Home Number:
Best time to reach you:
E-mail:

Will you have a co-borrower? Yes No

Total monthly income (Include co-borrower if applicable):


I can verify this income through either past 2 years W-2's, past 2 years Tax Returns, or past 12 months Bank Statements.

I choose not to verify this income and prefer a 'Stated Income' option.

Total Monthly Debt:

Amount of cash available for a downpayment:

If you prefer a 'Zero Downpayment' option, do you have any assets such as Stocks, C.D.'s, 401K,etc? And what is their current value?

What is the most you would like to spend as a monthly payment?

Describe your credit

OPTIONAL: Provide either your Social Security Number giving us permission to check your credit or visit www.MyFico.com and check your credit yourself. If you do visit www.MyFico.com and check your own credit, please enter your credit score rather than your Social Security Number. (NOTE: You do have the option of leaving this box empty and we can still Pre-Qualify you, however you will not be able to print a Pre-Qualification Letter to take to a Realtor.)

Print me a Pre-Qualification Letter!

Which area are you interested in purchasing a home?

Are you currently working with a Realtor? Yes No