Andrea Palacios 123 Main Street Santa Rosa, CA 95404

Phone: 707.237.6595Phone 2: 707.237.6895Cell 707.237.6896Fax: 707.237.6894

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Loan Pre-qualify Form Loan Applications Refinance Application Application Checklist (PDF)

Pre-qualify for a Mortgage

Pre-qualifying is one of the first steps toward obtaining your loan. Please fill out and submit the form below, and I will contact you right away so we can discuss the various loan options that may be available to you.

Fields marked with an * are required.
First Name: *
Last Name: *
E-mail: *
Address:
Zip/Postal Code:
City:
Daytime Phone: *
Evening Phone:
Purchase Price:
Estimated Value of Your Home if You Are Refinancing:
Loan Amount:
Will this loan be placed on your:
Your current monthly salary from all sources:
Your monthly commissions or bonuses averaged for the last two years, if any:
Current monthly financial obligations (minimum $ due):
Your total liquid assets i.e. checking, savings, stocks, bonds, IRA's, CD's, money market accounts, 401K plans, etc. that have been under your control for at least the last 90 days:
Additional Comments:
 
* Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.