Please complete the form below to start the pre-qualification process !
There is NO cost, obligation, or commitment if you submit this form !
This is a FREE service to determine how much you can borrow towards the purchase of a home.

Enter N/A in those boxes that do not apply

NOTICE
By submitting this form, you consent to a credit check
and authorize a loan officer to contact you.


If you would prefer to have a loan officer call you instead of preparing the form below,just click here: *Contact Barbara to send me an email.


PRIMARY BORROWER'S INFORMATION - Full Name
Email Address
Date of Birth
Current Address
Street:
City:
State:   Zip:
Do you own or rent? own
rent
How long have you lived there ?
Telephone Number - Mobile
Telephone Number - Home
Telephone Number - Office
Social Security #
Marital Status Married
Divorced
Widowed
Single
Children (please indicate how many dependent children and their ages)
Employer's Name
Gross Monthly Salary (before taxes)
Number of Years Employed or Time in Service
Position Title/Rank
ETS Date (if applicable)
Other income (retirement, VA disability, etc)
Have you had a bankruptcy in the last 10 years ? yes
no
Have you had a foreclosure in the last 10 years? yes
no
Have you served at least 90 continuous days in the active armed forces or reserves? yes
no
Is Texas your home of record ? yes
no
Did you enter military service in Texas? yes
no
REMARKS (include any child support payments. Specify if you make the payment or receive the payment)
SPOUSE'S INFORMATION (required, if married)
Date of Birth
Social Security #
Employer's Name
Gross Monthly Salary (before taxes)
Number of Years Employed or Time in Service
Position Title/Rank
ETS Date (if applicable)
Other income (retirement, VA disability, etc)
REMARKS (include any child support payments. Specify if you make the payment or receive the payment)