Pre-qual

Pre-Qualification Form

Applicant

First Name: Last Name: Marital Status: MarriedUnmarriedSeparated

Home Phone: Cell Phone: Work Phone:Email (required)

Birthdate: SSN#: Military Veteran or Guard/Reservist?YesNo

Present Address: City: State Zip Code: OwnRent

Employment

Present Employer's Name: **Self-Employed:YesNo

Employer's Address: City: State: Zip Code:

Job Positon/Title Years with Employer?


Co-Applicant

First Name: Last Name: Marital Status:MarriedUnmarriedSeparated

Home Phone: Cell Phone:Work Phone: Email

Birthdate: Social Security Number: Military Veteran or Guard/Reservist?YesNo

Present Address: City: State: Zip Code: OwnRent


Co-Applicant's Employment

Present Employer's Name: Self-Employed?YesNo

Employer's Address: City: State: Zip Code:

Job Position/Title: Years with Employer:


Gross Monthly Income

Applicant Co-Applicant
Base Income: Base Income:
Overtime: Overtime:
**Bonuses: **Bonuses:
**Commissions:

**Commissions:
**Rental Income: **Rental Income:

**For self-employed, bonus, commission or rental income: need 2 years of 1040's w/all schedules.


Applicant & Co-Applicant Combined

Checking Accounts: Mortgages/Rent:
Savings Accounts: Credit Cards:
401K/Retirement: Car Loans:
Stocks/Bonds: Student Loans:
Mutual Funds: Alimony/Child Support:
Equity in Home: Other Rental Property:

Have you had any credit issues, bankruptcy, judgments, tax liens, collections, ect., in the past 5 years?YesNo

I/We certify by clicking the "submit" button below that I/we have applied to CMG Mortgage Inc for a pre-qualification of a maximum mortgage amount. I/We authorize lender to communicate information concerning my application to third parties, including my real estate agent and sellers agent. I/We authorize CMG Mortgage Incto verify any of the above inormation for the purpose of mortgage application, and to gather documentation, including, but not limited to, credit report information.

Home Loans
Joseph Small CMG Mortgage Inc
Sr. Loan Officer NMLS#380188 NMLS 1820, AZ BK 0117007
Arizona: AZ Lic LO-0919258 11811 N. Tatum Blvd., #3099,
Phone: (520) 303-5620 Phoenix, AZ 85028
Fax: (888) 913-2525 jsmall@cmgfi.com