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The first step in the home buying process is pre-qualification.

If you would like to pre-qualify for a loan or would like more information about mortgage financing, complete the form that follows or call us directly. We would love to assist you!

The answers you provide with this form will be transmitted via email to our account. The information will remain confidential.

1.	How may we assist you?
	New loan   Refinance   More information
2.	Tell us about yourself:
	Borrower	Co-Borrower
	Name	Name
	Address	Address

	City	State	City	State

	Zipcode	Zipcode
	Phone	Phone
	Email	Email
	Co-Borrower has same address YesNo

3.	What is your financial situation?
	Borrower's Gross Monthly Income $
	Co-Borrower's Gross Monthly Income $
	Available funds for down payment & closing $
4.	What loan type(s) are you looking for?
	Fixed Rate   Adjustable Rate    Other (specify)
5.	What is your desired monthly payment?
	Desired monthly payment $

6.	What is your current debt? Include all debt (Installment loans, credit cards, alimony/child support, etc.)
	Creditor	Minimum Monthly Payment	Approximate Balance
		$	$
		$	$
		$	$
		$	$
		$	$
7.	Tell us about your current real estate holdings:
	If you rent, please enter your monthly payment		$
	If you own property, please fill out this section
		Property No. 1	Property No. 2
	Estimated Market Value	$	$
	Mortgage Balance	$	$
	Estimated Annual Property Taxes	$	$
	Estimated Annual Homeowner's Insurance	$	$
	Estimated Annual Homeowner's Assoc. Dues	$	$
8.	Include other information or questions
9.	Send us your pre-qualification form
Thank you, we will be in touch with you soon!

Edy Untermeyer Phone: 936/582-5432 Fax: 936-441-8001 Pager: 936/760-0899 Cell: 936/697-1108 Email Edy Untermeyer