Client Pre-Qualification Form
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- Julius Ward
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1 6236 Kingspointe Pkwy, Suite 8 Orlando, FL zuleika@myfloridamortgagesolutions.com Office: (321) Fax: (407) NMLS# Client Pre-Qualification Form Borrower Contact Information: First Name Last Name Phone Number ( ) - General Information: (2 years of address information) Date of Birth / / Social Security - - Marital Status Number of dependents Years in school Present Address Address City, State, Zip Code Number of years at current address? Own or rent? Own Rent If you rent, how is it paid? Cash Check Other Page 1 of 7
2 Property management or Realtor s information. Private Landlord s information. Realtor s Name Realtor s Phone Number ( ) - Realtor s Previous Address Address City, State, Zip Code Borrower s Employment: (2 years of employment history) Employment # 1 Employer Employer Address Gross Income $ Employment # 2 Employer Employer Address Gross Income $ Page 2 of 7
3 Previous Employment, if applicable (within the last 2 years) Employer Employer Address Gross Income $ Co-Borrower Information, if you have one: (2 years of address information) Co-Borrower First Name Co-Borrower Last Name Co-Borrower Co-Borrower Phone Number ( ) - Co-Borrower Date of Birth / / Co-Borrower Social Security Number - - Co-Borrower Marital Status Co-Borrower Number of dependents Co-Borrower Years in school Check, if residence is same as borrower Present Address Co-Borrower Address Co-Borrower City, State, Zip Code Co-Borrower Number of years at current address: Co-Borrower Own or Rent Own Rent Page 3 of 7
4 Previous Address Co-Borrower Address Co-Borrower City, State, Zip Code Co-Borrower s Employment: (2 years of employment history) Employment # 1 Co-Borrower Employer Co-Borrower Employer Address Co-Borrower Gross Income $ Employment # 2 Co-Borrower Employer Co-Borrower Employer Address Co-Borrower Gross Income $ Co-Borrower s Previous Employment, if applicable (within the last 2 years) Co-Borrower Employer Co-Borrower Employer Address Co-Borrower Gross Income $ Page 4 of 7
5 Loan Information Do you have any outstanding judgements against you? Any bankruptcy, foreclosure, or short sale in the past 7 years? Are you a party to a lawsuit? Have you been obligated on any loan resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? Are you obligated to pay alimony, child support, or separate maintenance? Is any part of the down payment borrowed? Are you a co-maker or endorser on a note? Are you a U.S. Citizen? Is this home going to be your primary residence? Do you have a checking account? Do you have a 401 K? Have you had an ownership interest in a property in the last three years? (1) What type of property did you own (PR/SH/IP)? (2) How did you hold title to home (S/SP/O)? Brw Y/N Co-Brw Y/N Desired Loan Amount? $ How much money do you have for down payment? $ Page 5 of 7
6 Credit Report Payment Information: Credit Card Type Credit Card Number Name on Credit Card Expiration Date / CVC Yes, I authorize you to pull my credit for the purpose of this mortgage loan pre-approval. Yes, I authorize you to charge my credit card, $24.33 (if single) or $37.42 (if married), application fee for EACH borrower. ***We use CIC Mortgage Credit for our residential mortgage credit report pulls*** Applicant Signature Date Co-Borrower applicant signature Date Page 6 of 7
7 NMLS # The following are required as part of the standard Loan Application: 1. Pay stubs to cover the last 30 days. 2. W-2 s for the last 2 years along with tax returns. 3. Photo ID and Social Security Card. 4. Bank Statements for the last 2 months (All pages) 5. Purchase Contract (if applicable) The following are required if applicable: If VA loan: Certificate of Eligibility and DD-214 If Applicable: Divorce Decree, Bankruptcy Discharge If Self-Employed: 2 Years Tax Returns and YTD Profit & Loss The following are required for a Refinance: 1. Mortgage Payment Coupon with Phone Number & Account # 2. HUD-1 (Settlement Statement) from previous closing 3. Survey 4. Homeowner s Insurance Policy 5. Warranty Deed 6. Owner s Title Policy 7. Tax Bill 8. HOA Bill Thank you for choosing us for your loan options needs. The greatest compliment you can give us is your referral! Page 7 of 7
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