Colorado Springs Real Estate By Chasen Chess

Colorado Springs Real Estate -Chasen Chess

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All Information That You Submit will Be Kept Confidential. I will never share your information with a third party for any reason. This form is being sent via a secured Internet Connection.

Express Pre-Qualification Form

Step1. Tell us about you. (* indicates required fields)

BorroIr Information
What is the BorroIrs Name?
Title
First*
Middle
Last*
What is the BorroIrs Address?
Street
City
State*
Zip
What is your Social Security number and Age?
SSN#*	Age
What are your telephone numbers?
Home*
Work

Co-BorroIr Information (If any)
What is the Co-BorroIrs Name?
Title
First
Middle
Last
What is the Co-BorroIrs Address?
Street
City
State
Zip
What is your Social Security number and Age?
SSN#	Age
What are your telephone numbers?
Home
Work

Step2. Tell us about your employment.

BorroIr
Self Employed?
Employer:
How Long (Yrs/Mths):	/
Monthly Income:	$
Overtime:	$
Bonuses:	$
Commissions:	$
Other:	$

Co-BorroIr
Self Employed?
Employer:
How Long (Yrs/Mths):	/
Monthly Income:	$
Overtime:	$
Bonuses:	$
Commissions:	$
Other	$

Step3. Tell us about your assets/liabilities.

BorroIr
Assets:
Checking:		$
Savings:		$
CD's/Stocks/Bonds		$
401K's/IRA's		$

Co-BorroIr
Assets:
Checking:		$
Savings:		$
CD's/Stocks/Bonds		$
401K's/IRA's		$

Combined Monthly Liabilities
Type	Monthly Payment	Unpaid Balance
Credit Cards:	$	$
Auto Loans:	$	$
Other Loans:	$	$
Child Support:	$

Step4. Tell us about your situation.

What is the property address?
Street:
City:
State:
Zip:

Number of units:
Occupancy type:
Estate Held:
Property Value:	$

What is the type of mortgage loan?
What is the purpose of this loan?
If you selected "Refinance", what is the purpose?
If you selected "Other", please explain.

What is the desired loan amount?		$
What is the estimated purchase price?		$
What is the estimated down payment amount?		$
If refinance, what is the total oId on home?		$
What is the length of your requested loan in months?
Amortization Type:

Other Information.

Which describes your situation?

		Additional Comments:
Agents Name:
Company:
Phone Number:

* I/I (borroIr[s] named herein) understand that this form is for pre-qualification
only and is not an application.

Authorization to check credit verification

YES NO
By selecting "YES" to this radio button, I/I hereby authorize Karen to order a consumer credit report to verify credit and other information pertaining to pre-qualification. The information that Karen obtains is only to be used for mortgage pre-qualification purposes.

Email Address:

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Chasen Chess
RE/MAX ADVANTAGE
"Making All The Right Moves"
5590 North Academy Boulevard.
Colorado Springs, CO 80918
Email Chasen

Cell: (719) 964-8424
Toll Free: (877) 378-8848
Direct (719) 488-8848
Fax: (719) 535-0395
Website: ChasenChess.com

Colorado Springs Realtor Specialists!

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