Pre-Qualification Please fill in the form and we will get back to you with pre-qualification or a call by end of next business day. BORROWER INFORMATION CO-BORROWER INFORMATION Name* CO-BORROWER Name Cell Phone* CO-Borrower - Cell Phone Email* Email Income Monthly Base Income Monthly Base Income Monthly Overtime Monthly Overtime Monthly Bonuses Monthly Bonuses Other - Do Not Include Rental Income Part-time income with 2 year history Part-time income with 2 year history Alimony, child support, Social Security, disability, that will continue for more than 3 years Alimony, child support, Social Security, disability, that will continue for more than 3 years Assets Liquid Assets (checking, savings, cd, Money Market Fund, gift from family member, Stocks, bonds, mutual funds, other) Name of Institution - Type of Asset - Amount Name of Institution - Type of Asset - Amount Liabilities Estimated Credit Score (FICO) Estimated Credit Score (FICO) Minimum Monthly Credit Card Pmt. Minimum Monthly Credit Card Pmt. Monthly car loan or lease amount Monthly car loan or lease amount Monthly Gross Rental Income of properties not being sold Monthly Gross Rental Income of properties not being sold Total Monthy Mortgage payment of Properties not being sold Total Monthy Mortgage payment of Properties not being sold Total Monthly taxes, HOI, HOA, not included in mortgage payment Total Monthly taxes, HOI, HOA, not included in mortgage payment Other monthly liabilities (include child support, alimony, repayment to employer, other) Other monthly liabilities (include child support, alimony, repayment to employer, other) Total Amount of Deferred Loans Total Amount of Deferred Loans Subject Property Property Address if not known enter County where you plan to purchase StateNJPA Type of PropertySingle FamilyTownhouseCondo1-2 Multi Units3-4 Multi Units Subject Property Will BePrimary HomesSecond HomeInvestment Property Purchase Price Down Payment Loan Amount Declarations Borrower Co-Borrower Are there any outstanding judgments against you?YesNo Are there any outstanding judgments against you?YesNo Have you been declared bankrupt within the past 7 years?YesNo Have you been declared bankrupt within the past 7 years?YesNo Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? YesNo Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? YesNo Are you a party to a law suit?YesNo Are you a party to a law suit?YesNo Are you a U.S citizen?YesNo Are you a U.S citizen?YesNo Are you a permanent resident alien or non-resident with work permit?ResidentResident AlienNon-Resident with Work Permit Are you a permanent resident alien or non-resident with work permit?ResidentResident AlienNon-Resident with Work Permit