$150 in Savings off closing costs with completion of this form!

Pre Approval Worksheet
Purchase / Refinance

Down Payment (purchase only):
Loan amount requested:
Type of loan requested (30 year, 15 year, adjustable):

Personal Information:
Borrower's Name: Co-Borrower's Name:
Address: Address:
City/State/Zip: City/State/Zip:
Work Phone #: Work Phone #:
Home Phone #: Home Phone #:
E-Mail Address:

Property Information:
Property Address:
City/State/Zip:
(est.) Purchase Price (purchase only):
Property Value (refinance only):
Type Of Property:
(est) Yearly Real Estate Taxes:

Income Information:
Borrower's Total Annual Income:
Co-Borrower Total Annual Income:
Other Income:

Debt Information:
Borrower's current monthly payment for Rent/Mortgage:
Co-Borrower's current monthly payment for Rent/Mortgage:
Borrower's current monthly payment for all other debts
(Credit Cards, Auto, Student Loans):
Co-Borrower's current monthly payment for all other debts
(Credit Cards, Auto, Student Loans):

Comments:




Licensed Mortgage Banker NYS Banking Department, New Jersey Banking Department, Conn. Banking Department, Florida Banking Department.
To find out more call Jeff Ogren at
1-800-443-5626 Ext 3009 (NY, NJ, CT & FL)

Miller Interactive © '95
Send Comments to Webmaster at Starweb.net