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(817) 496-8690

Loan Officer: Philip G. Rodriguez

PRE-QUALIFICATION WORKSHEET

  
 

Date:
  
 
Borrower Name:
Address:
City/State/Zip:
Social Security #:
Date of Birth:
Phone #:
Cell #:
Fax #:
Email:
Employer (or enter self-employed if applicable):
Job Title
Position
Years on Job:
Phone #:
    
 
Co-Borrower:
Address:
City/State/Zip:
Social Security #:
Date of Birth:
Phone#:
 
Cell #:
Fax #:
Email:
 
Employer (or enter self-employed if applicable):
Job Title
Position:
Years on Job:
           
Monthly Expenses Payments Balances Monthly Income Borrower Co-Borrower
Mortgage/Rent:
 $ $
Base Wages:
 $ $
Auto Loan #1:
 $ $
Commissions:
 $ $
Auto Loan #2:
 $ $
Bonuses:
 $ $
Student Loans:
 $ $
Overtime:
 $ $
Other Loans:
 $ $
Other:
 $ $
Credit Cards:
 $ $
Child Support:
 $ $
Child Support/Alimony Payments:
 $  
Social Security:
           
Assets          
Checking Accounts:
 $
Investment Accounts:
 $
Equity from sale
of real estate:
 $
Savings Accounts:
 $
Gift Funds:
 $
Other:
a. Enter Yes or No
- Have you been more than 30 days late in the past 12 months on rent, house payment, auto payments or credit cards?
b. Enter Yes or No
- In the last 7 years have you had any collection account or repossession that has not been paid?
c. Enter Yes or No
- Have you had a judgment, divorce, foreclosure or brankruptcy in the last 2 years?
d. Enter Yes or No
- Do you intend to receive a gift for any part of the down payment?
         
By clicking SUBMIT - I (We) hereby give our authorization for L&G Mortagebanc to obtain any and all information relating to our employment, deposit accounts, investments accounts, obligations and all other credit considerations which may be required in the pre-qualification process.
         
           
           
           


 
 
 
3512 Indian Summer Lane - Arlington, TX 76016-3111
PHONE: 817-496-8690
FAX: 817-496-5347
paul.spencer@sbcglobal.net
 

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