Pre-Qualification Worksheet

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If you are interested in how we can help with your mortgage loan needs, please fill out this free pre-qualification worksheet so we may better serve you. Simply fill out and submit this form and we will contact you to discuss your specific request or situation.

Borrower Name:

Co-Borrower Name:

Day Phone:

Evening Phone:

Mailing Street Address:

City:

State: Zip code:

E-mail:

Are you eligible for a VA
or Reservist home loan?:

INCOME:

How much in savings?:

Borrowers gross monthly wages:

C0-Borrowers gross monthly wages:

Rental Income:

Other Income:

Military Income:

VHA:

Sep. Rations:

Total Monthly Income:

EXPENSES:

Total Housing expenses monthly:

Principal & Interest or Rent:

Property Taxes:

Property Hazard Insurance:

Mortgage Insurance (MIP):

Homeowners Association Dues:

Total Monthly Housing Payment (PITI):

Other Monthly Obligations:

Automobile Loans:

Other Loans & Notes:

Revolving Credit & Other Debts:

Child Support & or Alimony:

Total all other monthly obligations:

If you have filed bankruptcy less than 2
years ago to cover medical services or other extenuating circumstances, we may still be able to help you. Please give us a call or email us.

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Comments via e-mail to: ck@Easy Mortgage.com
14450 T.C. Jester Blvd. Suite 360
Houston TX 77014