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Pre-Qualification Form   Borrower Information First Name *   Last Name * Email *   Home Phone * Best Time To Call*   Work Phone Employment Information Occupation Status Employed Self-employed Retired Not employed   Years Employed Annual Income     Income and Expenses Monthly Expenses ($) *   Credit History * Select One Excellent, Never any issues Good, No recent issues Fair, Recent issues or history of issues Poor, Major issues or Limited credit history Monthly Income ($) *     Loan Information Loan Amount ($) *   Loan Program * 30 Year Fixed 15 Year Fixed 5 Yr Balloon 7 Yr Balloon 1/1 ARM 3/1 ARM 5/1 ARM VA 30 Yr FHA 30 Yr FHA ARM When Would You Like To Close This Loan 30 Days 60 Days 90 Days I have no time constraints   Loan Purpose * Purchase Refinance Constr. Loan See Comments/Other FHA Loan VA Loan Property Information Property Value ($) *   Property Type Select One Single family Condo Commercial Investment Co-op Mobile Home Multi Family Property Address   Property City Property State ALABAMA ALASKA AMERICAN SAMOA ARIZONA ARKANSAS ARMED FORCES - AMERICAS ARMED FORCES - EUROPE ARMED FORCES - PACIFIC CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FEDERATED STATES OF MICRONESIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS OF THE U.S. VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING   Property Zip