Quick and Simple Mortgage Pre-Qualification

Tue - 3/16/2010

THIS FORM IS NO LONGER ACTIVE!!! Call a sponsoring lender to qualify.

QUICK PRE-QUALIFICATION QUESTIONNAIRE*

Borrower Information
First		Last
Street		City
State		ZIP
Phone		Email
Cell		Fax
Company		Phone
Years in Field		Years on Job
Monthly Income		Monthly Expenses
Credit History		Financial Condition
Co-Borrower Information
First		Last
Street		City
State		ZIP
Phone		Email
Cell		Fax
Company		Phone
Years in Field		Years on Job
Monthly Income		Monthly Expenses
Credit History		Financial Condition
Property Information
Street		City
State		ZIP
Purpose		Occupancy
Sales Price (if purchase)		As Is Value
Payoff (if refi)		Years Owned (if refi)
Subject To Value		Repair/Construction Costs
Closing Date		Down Payment
Comments
I have spoken with:
I certify that these statements are accurate to the best of my knowledge and I understand a representative of Novation Mortgage will be contacting me with details about programs for which I may qualify.

*The data submitted with this form is not stored and is used only as a precursory look at your stated ability to qualify. We do not ask for social security numbers, account numbers or date of birth as an added layer of protection to you. If you are accurate with the information you supply on this form we can be reasonably accurate with an estimation if you would qualify on a full application. This is not an application for a loan and should not be construed as such. This is a prequalification questionnaire. No offer to lend will be made as a result of submitting or evaluating this questionnaire.

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