Excel Mortgage, Inc. - Provide clients convenient access to mortgage loan

Mortgage Loan Pre-Approval/Pre-Qualification Request

Please provide the following information.

BORROWER
First Name:
Last Name:
Present Address:
CO-BORROWER
First Name:
Last Name:
Present Address:
Approx sales price (price range):	$
Down payment:

EMPLOYMENT INFORMATION
BORROWER
Base Salary:
Name of employer:
Address:
Years on current job:
Position:
Are you salaried or self-employed:

If less then two years at your current job, please provide number of years at your previous job:

CO-BORROWER
Base Salary:
Name of employer:
Address:
Years on current job:
Position:
Are you salaried or self-employed:

If less then two years at your current job, please provide number of years at your previous job:

Approx cash funds available: (money in the bank)	$
Type of Residency:
Your phone number:
Your email address:
Your agent’s name and phone number:

IF YOU ALREADY OWN A PROPERTY- if yes then please provide the following Information)

Mortgage payment on current residence:	$
Approx loan balance:	$
If there is a second trust/home equity – Loan balance:	$
Monthly payment on second trust/home equity line:
Any additional information/notes:

I authorize Excel Mortgage Inc to obtain a credit report as a part of this prequalification process.

BORROWER Social security number:
CO-BORROWER Social security number:

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