Please type your E-Mail address here

Name:

Address:

Rent    Own    $                   How Long?
           
Telephone (Home)                    Telephone (Work)
   
S.S.#                                             D.O.B
   
Employer

How Long?                               Title
       
Gross Monthly Income        Overtime       Bonuses
        
Previous Employer

How Long?                               Title
         
Gross Monthly Income
Name:

Address:

Rent    Own    $                   How Long?
           
Telephone (Home)                    Telephone (Work)
   
S.S.#                                             D.O.B
   
Employer

How Long?                               Title
       
Gross Monthly Income        Overtime       Bonuses
        
Previous Employer

How Long?                               Title
         
Gross Monthly Income

Total Checking Accounts        Balance $
Total Savings Accounts          Balance $
Total Investment Account        Balance $
Total IRA or 401K                   Balance $
Other        Balance $
Auto Payment #1                       Balance $
Auto Payment #2                       Balance $
Total Credit Card Payment       Balance $
Total Child Support Payments  Balance $
Other            Balance $

YES   NO
   Have you been more than 30 days late in the past 12 months on rent, house payments, auto payments or credit cards?
     In the last 7 years have you had a collection account or repossession which has not been paid in full?
     Have you had a judgement, foreclosure or bankrupcy that has not been discharged for at least 2 years?
     Do you intend to borrow any part of the down payment?
     Is any part of your income derived from part-time or self employment?
Please indicate below the maximum desired amount in each category.

Sales Price $ Down Payment $ Monthly Payment $

Sign and return this completed Home Loan Pre-Qualification Form. 
You may print and fax to 214-343-7989 or click Submit below to send online now.
I authorize USA Homeowners to obtain my credit report.
Borrower                  Co-Borrower

 

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