Pre-Qualification for Mortgage Loan This online pre-qualification form submits information to Zen Realtors that will allow us to better understand your needs. Please take a moment to complete as much of this form as possible on our Secure Server. It will help us help you. A Zen Realtors representative will contact you soon to assist you with mortgage services. Thank you for considering Zen Realtors. Borrower Co-Borrower, If Different Full Name (Required): Home Address: City, State, Zip Home Phone: (Required) Number of Years at Present Address Do you... Own Rent Own Rent If residing at present address for less than two years, complete following Former Address City, State, Zip Number of Years Did you... Own Rent Own Rent E-mail: (Required) Best time to contact: Social Security #: Date of Birth: Are you Married? Yes No Yes No Are you Separated? Yes No Yes No Are you Unmarried (include single, divorced, widowed) Yes No Yes No Number of Dependents Employer: Employer Address City, State, Zip Work Phone: Are you self employed ? Yes No Yes No Length of Employment: Position or Title Gross Monthly Income: If employed in current position less than 2 years, complete the following: Former Employer Employer Address City, State, Zip Work Phone: * List other sources of income such as alimony child support, social security or retirement. * NOTICE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation. Borrower By submitting this on-line pre-qualification, I authorize Zen Realtors to check such things as my/our credit, business and employment status. Yes No Co-Borrower By submitting this on-line pre-qualification, I authorize Zen Realtors to check such things as my/our credit, business and employment status. Yes No Loan Request Loan Amount Requested: Type of Property: Primary Second/Vacation Investment City, State, Zip Code: Title will be held in what name(s) Are you working with a real estate agent? Yes No Who referred you to Zen Realtors? Current Asset Information Checking Account(s) Institution: Institution: Balance: Balance: Saving Account(s) Institution: Institution: Balance: Balance: Other (Money Market, Mutual Fund, etc.) Institution: Institution: Balance: Balance: Vested interest in Retirement Fund Current Debt Borrower Co-Borrower My credit history is: excellent good, but some lates some credit problems major credit problems don't know excellent good, but some lates some credit problems major credit problems don't know Mortgage Balances Amount: Held by: Payment: Property Address: Property Value: Creditors Amount Owed Monthly Payment If you are working with or have been referred to a specific originator, please type their name in the blank below: Additional Comments or Notes
Own Rent
Yes No
If employed in current position less than 2 years, complete the following:
* NOTICE: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.
If you are working with or have been referred to a specific originator, please type their name in the blank below:
Additional Comments or Notes