Pre-Qualify for a Mortgage

The information you provide here will be used in determining the amount of mortgage for which you can qualify. This information will be transmitted via our secure server. Fields marked with a indicate it is required information. Name: Address 1: Address 2: City: State: AK AL AR AZ CA CO CT DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Zip: Home Phone: Work Phone: Fax: Preferred Call Time: Morning Afternoon Evening Email: Social Security: I want the... Select One Maximum Loan Amount Best Rate & Term Lowest Closing Cost Least/Lowest to Close Purpose of Loan: Select One Purchase Investment Refinance Home improvement Cashout Refinance Construction Construction (permanent) Other Estimated Property Value: Estimated Loan Amount: Amount Owed on Current Property: Property State: AK AL AR AZ CA CO CT DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY Property City: Annual Property Taxes: Annual Homeowners Insurance: Annual Income: Select One   $20,000   $30,000   $40,000   $50,000   $60,000   $70,000   $80,000   $90,000 $100,000 $110,000 $120,000 $130,000 $140,000 $150,000 $160,000 $170,000 $180,000 $190,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $950,000 + Available Cash On Hand: Estimated Closing Date: Select One On or before 09/30/03 On or before 10/31/03 On or before 11/30/03 On or before 12/31/03 On or before 01/31/04 On or before 02/28/04 On or before 03/31/04 On or before 04/30/04 On or before 05/31/04 On or before 06/30/04 On or before 07/31/04 On or before 08/31/04 On or before 09/30/04 On or before 10/31/04 On or before 11/30/04 On or before 12/31/04 On or before 01/31/05 On or before 02/28/05 On or before 03/31/05 On or before 04/30/05 On or before 05/31/05 If this is for a refinance please tell us the number of years you expect to be in your house: Select One   1 -   2 Years   2 -   3 Years   3 -   4 Years   4 -   5 Years   5 -   6 Years   6 -   7 Years   7 -   8 Years   8 -   9 Years   9 - 10 Years 10 - 15 Years 15 - 20 Years 20 - 25 Years 25 - 30 Years Have you already located a house?       YES       NO Are you using a realtor?       YES       NO Realtor's Name: Realtor's Company: Realtor's Phone: Realtor's Email: Additional Information Please take a moment to tell us your goal for this loan. For example: "I'm looking for a 30-year fixed rate with the lowest down possible". This helps us in determining the best loan program: This information is being used as a prequalification only and is not an application for credit. In connection with my prequalification, I authorize Premiere Financial Services to do an in-file credit report if they so choose. By submitting this form, I agree to accept calls regarding mortgage services offered by Premiere Financial Services. Submitting this form does not obligate you to accept a loan should you be approved, and it does not constitute a rate lock with Premiere Financial Services. The information submitted will remain confidential and will only be used by Premiere Financial Services to determine the best loan program for you. Now, before you press the submit button, please take a quick look over the contents to ensure all fields are properly filled in.     I choose not to have my information shared with third parties except as may be required for the purpose