PREQUALIFICATION INFORMATION FOR FIRST (Primary) APPLICANT

First Name: 1)  
(Full) Middle Name: 1)  
Last Name: 1)
SS#      D.O.B. Years at School

Marital Status:  Single // Married

Any Dependents?  YES  or NO
If the answer above was "YES", please denote their ages below.
Dependents Ages: 
 

CURRENT ADDRESS:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone	(don't forget the area code)
Cell Phone
Pager
FAX
***E-mail

How long have you been at your current address?
     Do you:  RENT or OWN
     How much do you pay in Rent or Mortgage Payments per month? 

PREVIOUS ADDRESS:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

EMPLOYMENT INFORMATION:

Present Employer:
 # of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Hour Week Month Year
Address:
Overtime or Other Income
    $
    Source Of Other Income:

OTHER INCOME

Any other income/bills (alimony, child support, SSi, etc.)?
    $
    Institution:

How much do you have in:
     SAVINGS $
     CHECKING $

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REFINANCE INFORMATION

What is your present interest rate %
What is your Present Mortgage Balance?  $

What type of mortgage do you have? Please Select One FHA VA Conventional  

If your mortgage is FHA, no appraisal is required.  II will work out the numbers for you over the phone.  But if it is VA or Conventional, I need to check on the value first, so I will need the address of the mortgaged property:

Mortgaged Property Address:
Street Line 1: 
Street Line 2: 
City:     State:   
Zip Code:
Dwelling Type Is: Please Select One Single Family Residence Condo   # of Bedrooms: and # of Bathrooms
Association (if applicablel):
 Maintenance/Association MONTHLY Fee:  $

Is the property in trust? (did you hire a lawyer to write up paperwork to ensure your property does not have to go through probate for your inheritors?)
      YES or NO

Do you have a Shared Appreciation / Buy-Back Agreement with the State of Hawaii?
      YES or NO

Do you want to take cash out? 
      NO (lower payment / interest rate)
      YES : (How much?  $)

* * * * * * * * * * * * * * * * * * * * * * * * *

PREQUALIFICATION INFORMATION FOR SECOND APPLICANT

Name of SECOND Applicant:

First Name: 1)  
(Full) Middle Name: 1)  
Last Name: 1)
SS#      D.O.B. Years at School

Marital Status:  Single // Married

Any Dependents?  YES  or NO
If the answer above was "YES", please denote their ages below.
Dependents Ages: 
 

CURRENT ADDRESS (ONLY if different from address of primary applicant):

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone	(don't forget the area code)
Cell Phone
Pager
FAX
E-mail

How long have you been at your current address?
     Do you:  RENT or OWN
     How much do you pay in Rent or Mortgage Payments per month? 

 

PREVIOUS ADDRESS (ONLY if different from Previous address of primary applicant):

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

EMPLOYMENT INFORMATION:

Present Employer:
 # of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

OTHER INCOME

Any other income/bills (alimony, child support, SSi, etc.)?
    $
    Institution:

How much do you have in:
     SAVINGS $
     CHECKING $

*******************************************************************

PREQUALIFICATION INFORMATION FOR THIRD APPLICANT

Name of 3rd Applicant:

First Name: 1)  
(Full) Middle Name: 1)  
Last Name: 1)
SS#      D.O.B. Years at School

Marital Status:  Single // Married

Any Dependents?  YES  or NO
If the answer above was "YES", please denote their ages below.
Dependents Ages: 
 

CURRENT ADDRESS (ONLY if different from primary applicant address):

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone	(don't forget the area code)
Cell Phone
Pager
FAX
E-mail

How long have you been at your current address?
     Do you:  RENT or OWN
     How much do you pay in Rent or Mortgage Payments per month? 

PREVIOUS ADDRESS (ONLY if different from Previous address of primary applicant):

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

EMPLOYMENT INFORMATION:

Present Employer:
 # of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

Previous Employer:  
# of Years Employed  
Employer's Phone #: (don't forget the area code)
Your Rank/Position:
Base Pay: Per Please Select One Hourly Biweekly Semi-monthly Monthly Annually
Address:
Overtime or Other Income
    $
    Source Of Other Income:

OTHER INCOME

Any other income/bills (alimony, child support, SSi, etc.)?
    $
    Institution:

How much do you have in:
     SAVINGS $
     CHECKING $

*******************************************************************

We believe in bettering the world we live in at every opportunity, so ...  for every loan Zoe finalizes, she can, upon request, make a donation to one of the following charities.  If you would like Zoe to make a donation to either of these charities upon completion of your loan, please CLICK-to-FILL the YES below each icon:

Donate to "Hawaii Fi-do"?  YES  or No

Donate to "BARC, Inc"?  YES  or NO

 

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It would be a good idea to print out this page for your future reference,
as the form I receive on my end looks NOTHING like it.

WHEN YOU'VE FILLED OUT THE ENTIRE FORM, 
CLICK THE SUBMIT BUTTON BELOW TO SEND ME YOUR APPLICATION.
I'LL GET BACK TO YOU AS SOON AS POSSIBLE.