BORROWER Marriage Status * Unmarried Married Full Name * Address * Apt/Suite City * State * Zip Code * Housing * Own Rent # of Yrs Home Phone Cell Phone Email * Mortgage Payment If Own, Home Market Value Rent Payment Interest Rate Remaining Balance Purpose of Loan Investment Property Primary Home Purchase Cash Out Refinance Home Improvement Own Any Real Estate No Yes if Yes, How Many Financed Loan Amount Requested EMPLOYMENT Present Employer Billing Street Address 1 Billing City Billing State Billing Postal Code Business Phone Business Fax Position/Title Years on Job Years in same Field MONTHLY INCOME Base Salary Bonus/ Commission/ Overtime Alimony/ Child Support Received Paid ASSETS Checking/ Saving Retirement/ Stocks AUTHORIZATION TYPING NAME BELOW INDICATES AUTHORIZATION AS STATED I / We have applied for a mortgage loan pre-qualification from Investor Lending. I hereby authorize Investor Lending to order a consumer credit report and verify information contained in this pre-qualification form. Enter Full Name * Submit
