App

Pre-Qualify

Application

Contact Information

Applicant Name
First Name • Middle Initial • Last Name

SOCIAL SECURITY NUMBER D.O.B

Co-Applicant Name
First Name • Middle Initial • Last Name

SOCIAL SECURITY NUMBER D.O.B

Do you currently: Own a Home Rent

Current Street Address

City • State

Zip Code

Home Phone

(xxx-xxx-xxxx)

Work Phone

(xxx-xxx-xxxx)

Mobile Phone / Pager

(xxx-xxx-xxxx)

Best time to contact you?

Email Address

Existing First Mortgage Details
(if applicable)

Amount Owed on First Mortgage

.00

Current Interest Rate

Loan Type

Fixed Adjustable

Monthly Payment

Existing Second Mortgage Details
(if applicable)

Amount Owed on Second Mortgage

.00

Current Interest Rate

Loan Type

Fixed Adjustable

Monthly Payment

Preferences

Type of Loan Desired

Loan Amount Desired

.00

Please describe your current loan needs:

	I am very interested and ready to work with a lender.
	I am currently working with a lender, but am looking at other options.
	I am just checking , but I would consider pursuing a loan if it looked like a good/better deal.
	I am only interested in seeing investment property at this time.

How did you find Mastermind Mortgage. Com?

Employment/Income Information

- Primary Applicant -

Current Employer Name

Years with Current Employer

Yearly Income

.00

If less than 2 years

Previous Employer

Years with Employer

Yearly Income

.00

How would you rate your credit?

Excellent Good Fair Poor

- Co-Applicant (if applicable) -

Current Employer Name

Years with Current Employer

Yearly Income

.00

If less than 2 years

Previous Employer

Years with Employer

Yearly Income

.00

How would you rate your credit?

Excellent Good Fair Poor

Additional Comments

Please include anything you feel might be helpful to us in consideration of your application: