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Mortgage Pre-Qualification Form

The process of mortgage loan pre-qualification can be completed by filling out the form below. A pre-qualification is based ONLY on the information that you supply. A credit report is NOT required to obtain a pre-qualification.

Borrower Information

Full Name
Street Address
City, State, Zip
Length of time at present address?
E-Mail
SS Number
Home Phone Number
Work Phone Number

Co-Borrower Information

Full Name
Street Address
City, State, Zip
Length of time at present address?
E-Mail
SS Number
Home Phone Number
Work Phone Number

Assets

Please fill in the dollar amounts in the first box, then use the dropdown boxes to provide further details.

Liquid assets -- monies that have been in a financial institution for longer than 2 months.

Retirement Account

Dollar value of real estate on subject property

Value of any other real estate

Projected assets to be received

Income

Borrower
Your primary income is derived from

You have you received a steady income from this source for

Enter the dollar amount of your annual base income. (Please do not include any overtime or bonuses)

Enter the dollar amount of any other income received for the past two years and indicate the source

Co-Borrower

Please enter the co-borrower's relationship to you (husband, wife, mother, etc.)

Their income is derived from

Your co-person has received a steady income from this source for

Enter the dollar amount of your annual base income. (Please do not include any overtime or bonuses)

Enter the dollar amount of any other income received for the past two years and indicate the source

Liabilities

Monthly auto payments

Monthly minimum required credit card payments.

The balance on any mortgage to be paid-off.

The monthly payment (including taxes, insurance, mortgage insurance, association fees) on any mortgage that will not be paid-off.

Any other monthly installment debt or court ordered obligations (like personal loans, child support, etc.) that will continue for more than 3 years.

I/We (borrower[s] named herein) understand that this form is for pre-qualification
only and is not a mortgage loan application.

Authorization to check credit verification
YES
By selecting "YES" to this radio button, I/WE hereby authorize MADISON FIRST FINANCIAL, INC. to order a consumer credit report to verify credit and other information pertaining to pre-qualification. The information that MADISON FIRST FINANCIAL, INC. obtains is only to be used for mortgage pre-qualification purposes.

Email Address:

Thank you.

All credit situations considered for Madison First Financial mortgages.

Interest rates for our mortgages are the BEST in the industry.

United States Map Licensed Dept. of Banking
PA, NJ, DE, MD, NH, VA, CT, MA, MI, IL, CO, WY, TN, FL, IN, MN, CA, WI, RI, NY

License Pending
ME, VT, OH, WV, KY, NC, GA, MS, AL, IO, MO, AR, LA, ND, SD, NE, KS, OK, TX, MT, ID, UT, NV, AZ, NM, WA, OR, HI, AK

PAMB United NAMB National Association of Mortgage Brokers FHA Approved
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT