Mortgage Loans in New Jersey and New York

MORTGAGE PRE-QUALIFICATION
NAME:
PHONE NUMBER:
E-MAIL ADDRESS:

PURCHASE PRICE:
OCCUPANCY:
RECENT CREDIT HISTORY:

GROSS ANNUAL INCOME: (before taxes or deductions)	Borrower	$
	Co-Borrower	$
ASSETS AVAILABLE:	Checking & Savings	$
	Retirement (IRA/ 401k)	$
	Gift funds	$
	Other	$
MINIMUM MONTHLY PAYMENTS:	Min. Credit Card payment	$
	Car payments	$
	Loan payments	$
	Other (e.g. alimony)	$
CURRENT OWNERSHIP:
IF YOU OWN CURRENTLY:	Approx. Market Value	$
	1st Mortgage amount	$
	2nd Mortgage amount	$

DOCUMENTATION TYPE:
OTHER REQUIREMENTS:	Use this space to specify any requirements or ask any questions.


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