Prequalification and Credit Authorization


To determine the loan amount that you may qualify for based on your income and liabilities, please complete this form. You can be sure the information provided for the purposes of pre-qualification will be strictly confidential. With written authorization to evaluate your personal financials and pull your credit, we will be able to determine whether you qualify for a loan and identify the proper loan program for you.

Information is sent by secure encryption and delivered directly to the Pacific Home Brokers Inc. and your loan officer.

 

Let’s get started! Please fill in the fields below.

 

Borrower Information

Only one Borrower per form. If there is a Co-borrower then another form needs to be filled out.

Name:  

Loan Officer’s Name:  

Real Estate Agent’s Name:  

Social Security #:  

Date of Birth:  

Address:  

City:  

State:  

Zip Code:  

Years At Address:  

Phone # Cell:  

Daytime #:  

Email Address:  

Current Rent or N/A:  

Current Mortgage or N/A:  

Employer:  

Occupation:  

How Long Employed with this Employer:  

What is Your Employer’s Phone Number:  

Gross Monthly Income:  

Other Income (part-time/pension/disability/retirement/dividends):  

Maximum Down Payment Amount:  

What is the Discharge Date If You Filed Bankruptcy in the Last 7 Years or N/A:   

What was the Sale Date for Your Foreclosure in the last 7 years or N/A:  

What is The Total Minimum Payments for Alimony or N/A:  

What is The Total Minimum Payments for Child Support or N/A:  

What is The Total Minimum Payments for all Car Loans or N/A:

What is The Total Minimum Payments for all Student Loans or N/A:  

What is The Total Minimum Payments for all Credit Cards or N/A:  

What is The Total Minimum Payments for any Equity Line of Credit or N/A:  

 

I hereby give Pacific Home Brokers Inc. permission to evaluate my personal information for the purpose of obtaining loan financing to include making a credit inquiry.

Leave this empty:

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Signature Certificate
Document name: Prequalification and Credit Authorization
Unique Document ID: 601271d1a5e625dc23ce3bd2abb9a65aef9d4f55
Timestamp Audit
November 16, 2015 3:23 pm PSTPrequalification and Credit Authorization Uploaded by Pacific Home Brokers - support@pacifichomebrokers.net IP 76.93.158.98