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Dian Hemer
Barry Stone  

 


PREQUALIFICATION REQUEST

As a Mortgage Banker, we have a large menu of loan programs available to achieve your financing goals. Based on the information below, we will advise you of the financing solution available and which will best fit your home purchase or refinance.


Name
Daytime
Phone
Evening
Phone
Email
 

LOAN QUALIFYING INFORMATION
 
Total Annual Income $
Income Source W-2 Self-Employed
Total Monthly Debt Payments $
Funds Available $
 

PROPERTY INFORMATION
 
Located in?    
Sales Price $ (Purchase only)
Down Payment     (Purchase only)
 
Estimated Value $ (Refinance only)
Current Home
Indebtedness		 $ (Refinance only)
 
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hear about us?		  
Other:
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