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Loan Pre-Qualification
All fields with an asterisk (*) are required

General Information
Which type of loan are you applying for?
Purchase   Refinance *
Will you have a co-borrower on your loan?
Yes   No *

Borrower Information
First Name *
Middle Initial
Last Name *
Suffix
Address *
Unit #
City *
State *
Zip Code *
Home Phone (xxx-xxx-xxxx) *
At least one phone number is required
Mobile Phone (xxx-xxx-xxxx) *
E-mail Address *
S.S. # (xxx-xx-xxxx) *
Birth Date
 *
Years of School *
Marital Status *
Dependents *
Years at Present Address Y   M *  Own Rent *


Borrower Employment
I am currently Retired or Not Employed (fields below not required)

Employer Name *
Address *
City *
State *
Zip Code *
Business Phone Ext. (xxx-xxx-xxxx) *
Position / Title / Type of Business *
Start Date
 *
Self-Employed Yes No *
Years employed in this line of work / profession *

Property Information
Address TBD
City
State
Zip Code
Property Type
Residency Type
Number of Units
Sales Price
TBD
Estimated Value
TBD
Loan Amount
TBD
Terms (Years)


Schedule of Real Estate Owned
Property #1 Information
Address
City
State
Zip Code
Disposition
Property Type
Current Residence Yes No
Market Value
TBD
Amount of Mortgage
Gross Rent Income
Mortgage Payment
Interest Rate / Loan Type Fixed  ARM 
Insurance / Tax / Maintenance
Net Rent Income


Asset Accounts
Institution Name Type of Account Account Number    Balance
$
$
$
$
$

$
$
$
$
$


Monthly Income and Combined Housing Expenses

Gross Monthly Income

Borrower Co-Borrower Total
Base
Overtime
Bonuses
Commissions
Div. / Interest
Net Rent Inc.
Other
Other
Total
Please provide at least one income value above

Monthly Housing Expenses

Current Proposed
Rent
N / A
N / A
First Mortgage
N / A
N / A
Other Financial
N / A
N / A
Hazard Insurance
N / A
N / A
Real Estate Taxes
N / A
N / A
Mortgage Insurance
N / A
N / A
HOA Dues
N / A
N / A
Other
N / A
N / A
Total
N / A
N / A

Other Income

Source Description Monthly Income


Borrower Declarations
Are there any outstanding judgments against you?
Yes No   *
Have you been declared bankrupt within the past 7 years?
Yes No   *
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Yes No   *
Are you a party to a lawsuit?
Yes No   *
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.)
Yes No   *
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Yes No   *
Are you obligated to pay alimony, child support, or separate maintenance?
Yes No   *
Is any part of the down payment borrowed?
Yes No   *
Are you a co-maker or endorser on a note?
Yes No   *
Are you a U.S. citizen? Yes No   *
Are you a permanent resident alien? Yes No   *
Do you intend to occupy the property as your primary residence?
Yes No   *
Have you had an ownership interest in a property in the last three years? Yes No   *

Questions or Comments


SSL Security
By submitting this Loan Pre-Qualification, I/We agree to give FC Lending Ltd. authorization to run a credit check on financial history.


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