Clients Benefits Package -Expired Listing General Draft

PRE- QUALIFICATION REQUEST FORM
Were you referred? Referral Name:
PROPERTY INFORMATION
Purchase Price Ranges:
BORROWER INFORMATION
Name:
DOB:
Present Address:
Address Line 2:
City, State, ZIP:
-If Renting- Amount:
Available Down Payment:
55#:
Marital Status: CJ Married D Divorced □Single Children:
Previous Address if less than 2 years:
Address Line 2:
D Rent D Own D Lives with relatives City, State, ZIP:
Years at Present Address:
Years at Previous Address:
Ages:
DOB:
Present Address:
Address Line 2:
City, State, ZIP:
-If Renting- Amount:
Home Number:
Marital Status: D Married D Divorced D Single Children:
Previous Address if less than 2 years:
Address Line 2:
D Rent D Own D Lives with relatives City, State, 21 P:
Years at Present Address:
Years at Previous Address:
Cell Number:
Work Number:
Email:
Ages:
Employer:
Gross Monthly Salary:
ntle/Position:
Type of Business:
Self Employed: D Yes D No
Yea rs at Job:
Years in Business:
BORROWER ASSETS
Name of Bank:
Balance:
□ Checking
I □ savings
Additional financial information (i.e. child support, monetary gifts, alimony):
Employer:
Gross Monthly Salary:
Title/Position:
Type of Business:
Self Employed: □ Yes D No
Years at Job:
Years in Business:
CO-BORROWER ASSETS
Name of Bank:
Balance:
□ Checkijng
I □ Savings
Additional financial information (i.e. child support, monetary gifts, alimony):
BORROWER SIGNATURE
D I authorize Linwood Financial Consultants to retrieve a copy of my credit report.
Borirower's Signature:
Date:
CO-BORROWER SIGNATURE
D I authorize Linwood Financial Consultants to retrieve a copy of my credit report.
Borrower's Signature:
Date:
CONTACT TODAY FOR MORE INFORMATION
Dawn Wilson
Construction Finance Specialist
Cell: 714-606-3446
Email: dwilson@linwoodhomes.com