On-line Pre-Approval Form 

The following form will help get you started in the loan pre-approval process. If you'd rather communicate by phone or in person, please give me a call or send an e-mail so we can get in touch. Whatever your situation may call for, I'm here to help.

Peter & Marsha Panos

 Borrower's Information 
The purpose of this pre-approval is to : (required)
purchase   refinance


This will involve my primary residence :
yes   no


My desired purchase price range is :
from   up to


The maximum monthly payment desired is :


I currently :
rent   own


The monthly payment for my current residence is :


I have been at my current residence for :


The location of my current residence is :
address
city
state
zip code

My contact information is as follows :
home phone
work phone
e-mail (required)
fax
other phone (cell, pager, etc.)

My personal information is as follows :
full name (required)
age   years in school
marital status single (or widowed)   married   separated
dependants   dependant ages
social security
(optional but required to pull a credit report)

My job/career status is as follows :
business name
position
self employed yes   no
duration
gross income

My additional avenues of income are :
sources
additional income (per year)

 Co-borrower Information (if applicable) 
I currently :
rent   own


The monthly payment for my currnet residence is :


I have been at my current residence for :


The location of my current residence is :
address
city
state
zip code

My contact information is as follows :
home phone
work phone
e-mail
fax
other phone (cell, pager, etc.)

My personal information is as follows :
full name
age   years in school
marital status single (or widowed)   married   separated
dependants   dependant ages
social security
(optional but required to pull a credit report)

My job/career status is as follows :
business name
position
self employed yes   no
duration
gross income

My additional avenues of income are :
sources
additional income (per year)

 Additional Information (if applicable) 
Assets to include into consideration are :
checking savings mutual fund
retirement cd's stocks/bonds
real estate gift other

My current debts to consider are :
creditor
payment balance
creditor
payment balance
creditor
payment balance
creditor
payment balance
creditor
payment balance
creditor
payment balance

Additional comments regarding my approval :

 Form Submission 
I allow you to disclose this information to other appropriate parties for the benefit of my mortgage qualification :
yes   no