Licensed Brokers Carteret Mortgage Corporation

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FREE Online Loan Pre-qualification Form

The information provided below is not a formal loan application, but will be used to determine our estimate of the borrower's qualification to obtain a mortgage loan.

Pre-Qualification Information:
Please use the "TAB" key to move between fields. DO NOT USE the "ENTER" key.

Loan Amount:

Type of Loan:
Purchase Refinance Second Home Income Property
Type of Financing:
Conventional Fixed Conventional Adjustable Rate FHA VA

Customer Information

Borrower:

Co-Borrower:

E-mail:

Current Street Address:

City: State: Zip Code:

Home Phone:

Work Phone: (include extension if applicable)

Property Information

Purchase Price (Current Value of Property if refinance):

Cash Down payment: (If Purchase)

Property Address:

Property City:

Property State: Property Zip Code:

Property Type:
Single Family Condo/Townhouse Multi Family

Will you occupy the property?:
Yes No

If purchasing, do you have a Realtor® with whom you are working?
Yes No

Would you like for us to find a Realtor® who specializes in your area?
Yes No

Credit Information

How would you rate your Credit? Excellent   Good   Fair   Poor

Borrower Employment Status:                      Co-Borrower Employment Status:
Salaried/Hourly Self Employed        Salaried/Hourly Self Employed

Borrower Employer:                                       Co-Borrower Employer

Number of years with Company:                Number of years with Company:

Borrower Gross Monthly Income:             Co-Borrower Gross Monthly Income:

Liquid Assets: (Include checking, savings, stocks, mutual funds etc.)

Borrower Retirement and 401k:                 Co-Borrower Retirement and 401k:

Borrower Monthly Auto Payments:            Co-Borrower Monthly Auto Payments:

Borrower Credit Card Minimum Mo. Pmt: Co-Borrower Credit Card Minimum Mo. Payment:

Other Monthly Debt: (Child Support, Student Loans. Do not include current house payment, rent or utilities)

If Refinancing Answer the following:

If refinancing, enter outstanding balance owed:

What is your Current Interest Rate?:

Type of Current Loan:
Conventional   FHA VA   Other
Current Monthly Payment (excluding taxes):

Annual Property Taxes:

Do you currently have Mortgage Insurance?:
Yes No
Do you have a Second Mortgage or a line of credit on the Subject Property?:
Yes No
Do you want to keep this loan or consolidate it with the first mortgage?
Keep Consolidate

If you would like the option to include a FREE credit report, select one choice below:

My Social Security number is (Borrower): (This is necessary to order the credit report)

My Social Security number is (Co-Borrower):

Any additional information? Tell us what you'd like to do. Type in box below: