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Loan Pre-Qualification

Terms of Loan:
Purpose of Loan:  
Loan Amount:   $
Purchase Price:   $ (leave blank if refinancing)
Est. Appraised Value:   $ (leave blank if purchasing)
Down Payment:   (leave blank if refinancing)
Type of Mortgage:  
No. of Months:  
Amortization Type:  

Borrower Information:
  Borrower   Co-Borrower
First Name & Middle Initial:    
Last Name:    
Social Security Number:    
Birth Date:
Home Phone:    
Alt. Phone:    
Cell Phone:    
Fax Number:    
Present Address:     Same as Borrower
State:   Zip:   Zip:
Years at Current Address:    
Own / Rent:   Own / Rent   Own / Rent

Property Information:
Same as Present address:
Zip Code:  
Use of Prop:  
No. of Units:  

Employment Information:
    Borrower   Co-Borrower
Employer Name:    
City, State & Zip:    
Years Employed:    
Self-Employed:   Yes / No   Yes / No

Income / Assets:
  Borrower   Co-Borrower
Gross Monthly Income:   $   $
Total Liquid Assets:
(Cash, Checking, Savings, Stocks, Bonds, Etc.)
  $   $
Vested Interest in Retirement Fund:   $   $

Client Agreement:
Authorization to check credit verification
By selecting this check box, I hereby authorize Spokane Mortgage Group to order a consumer credit report and verify other credit information. The information that Spokane Mortgage Group obtains is only to be used in the processing of my application for a mortgage loan, or in the quality control review of my loan.

Office:  509.339.7110 Tim Cell:  509.432.5898 email us 110 S Grand Ave, Pullman WA 99163

Pullman Mortgage Group is a division of Wolsey Inc.   NMLS 113458, 116503     NMLS Consumer Access Page