Missouri, Kansas, Arkansas, Oklahoma, Alabama, Alaska, Colorado,
Idaho, Montana,  Wyoming,  Kansas Mortgage Registrant 96-214

"No Obligation" 
Loan Pre-Qualifier

This quick, easy, no obligation information form is the way to find out how much house you can qualify for and get a good reading on the interest rate you'd be paying. Be sure to fill in the blanks with the  *  next to them as they  indicate required information.

BORROWER

CO-BORROWER
NAME: * NAME: *
ADDRESS: * ADDRESS: *
CITY: * CITY: *
STATE: * STATE: *
ZIP: * ZIP: *
TELEPHONE NO. * TELEPHONE NO. *
E-MAIL ADDRESS (if available): E-MAIL ADDRESS (if available):
NUMBER OF YEARS WITH CURRENT EMPLOYER: * NUMBER OF YEARS WITH CURRENT EMPLOYER: *
NUMBER OF YEARS WITH PREVIOUS EMPLOYER: * NUMBER OF YEARS WITH PREVIOUS EMPLOYER: *
ARE YOU SELF EMPLOYED? * ARE YOU SELF EMPLOYED? *
YOUR AVERAGE GROSS MONTHLY INCOME:$ * YOUR AVERAGE GROSS MONTHLY INCOME:$ *
EST. ALL OTHER INCOME (ANNUAL AMOUNT):$ * EST. ALL OTHER INCOME (ANNUAL AMOUNT):$ *
MONTHLY MORTGAGE OR RENT PMT.
(Do not include utl. property taxes, or home insurance)  
$* 		 
MONTHLY PMT. ON ALL OTHER DEBTS:
  (min credit card pmt, auto loans, loans , child spt, alimony, etc) 
$ * 		MONTHLY PMT. ON ALL OTHER DEBTS:  
 (min credit card pmt, auto loans, loans , child spt, alimony, etc)
  $ *
WHAT IS YOUR CREDIT RATING: * WHAT IS YOUR CREDIT RATING: *

TYPE OF LOAN

IF YOU ARE APPLYING FOR A PURCHASE LOAN:

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