First home





Mortgage Prequalification
* Indicates Required Field      **Field only Required where applicable
    
*Borrowers First Name:
*Social Security#:

 
*Borrowers Last Name:
*Date of Birth :

Please use this format:
(01/01/2000)
*Street Address:
*City:
 *State:
 *Zip:
Home Phone Number:
( )
Work Phone Number:
( )
 
 
*E-mail Address:
  Co-Borrower Information
**Co-Borrower First Name:
**Social Security#:
  
**Co-Borrowers Last Name:
**Date of Birth :
Please use this format:
(01/01/2000)
**Street Address:
**City:
 **State:
 **Zip:
Home Phone Number:
( ) 		Work Phone Number:
( )
**E-mail Address:


Annual Income
 
Employer
How
long
Annual
Salary
Avg Annual
Commission
Total Annual
Income
Borrower's:
Co-Borrower's:
Other Income(Describe):  
Monthly Debt
   
Monthly
Payments
Balance
Months
Remaining
Auto Loans #1
  #2
  #3
Student Loans #1
  #2
Child Support
and/or Maintenance		      
Other Loans #1
  #2
Credit Cards #1  
  #2  
  #3  
Down Payment
Money available for down payment and closing costs and reserves
1. From Sale of House
2. Gift
3. Savings
4. Other (describe)
Total Down
Payment :
Subject:
Additional Comments or Questions:
I authorize Landmark Mortgage to do an in-file credit report for pre-qualification