To find out if you qualify for a mortgage and for how much, just fill and submit the information below. Most analyses are completed within 24 hours of submission. We may contact you to confirm information or ask for additional details.

If you prefer to talk with someone instead of filling the information online, you can either give us a call at (623) 418-5700 or fill the first part of the form – Contact Information – and we will contact you to discuss your needs.

*(denotes required fields)

CONTACT INFORMATION

Full Name: *

E-Mail Address: *

E-Mail Address again: *

Confirm your email address:

Phone: *

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BORROWER INFORMATION

Date of Birth:

Social Security Number:

Confirm Social Security Number:

Current Address:

City:

State:

Zip:

Do you?

Own Rent Live with someone

How long have you lived in this address?

If lived in the current address for less than 2 years, please list below all the places you have lived for the past 2 years, including time period lived in each place:

Co-Borrower Full Name:

Co-Borrower Date of Birth:

Co-Borrower Social Security Number:

Confirm Co-Borrower Social Security Number:

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LOAN INFORMATION

Loan Program:

30 Year Fixed Rate
15 Year Fixed Rate
FHA 30 Year Fixed Rate
VA 30 Year Fixed Rate
Unsure
Other

Target Purchase Price: (leave blank if unsure)

Target Down Payment: (leave blank if unsure)

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INCOME INFORMATION FOR BORROWER

Borrower is self-employed?

Yes
No

Employer Name:

How long has worked with this employer?

Position:

Gross Income Per Month:

If worked for this employer for less than 2 years, please list below all previous employers for the past 2 years, including name, position, duration, and gross income per month:

Can verify income?

Yes
No

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INCOME INFORMATION FOR CO-BORROWER

Co-Borrower is self-employed?

Yes
No

Employer Name:

How long has worked with this employer?

Position:

Gross Income Per Month:

If worked for this employer for less than 2 years, please list below all previous employers for the past 2 years, including name, position, duration, and gross income per month:

Can verify income?

Yes
No

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AVAILABLE ASSETS INFORMATION

Balance in Checking Accounts:

Balance in Savings Accounts:

Balance in Retirement Accounts:

Balance Available in Other Accounts:

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CREDIT INFORMATION

Bankrupcy?

Yes
No

Bankrupcy Discharge Month and Year: (if known)

Foreclosure?

Yes
No

Foreclosure Month and Year: (if known)

Short Sale?

Yes
No

Short Sale Month and Year: (if known)

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Comments/Additional Information:

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May we access your credit reports to help us pre-approve you for a mortgage?

Yes
No

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Please type the text you see inside the above box: *