No Cost or Obligation
ERA Steinbeck is committed to helping you find the best loan to meet your financing needs, and there's no cost involved. We match your loan request with a participating lender who can offer you the best rates and terms. You are under no obligation to use the lender or loan we identify, however, we encourage you to review the offer carefully. Our match is the result of an extensive search of thousands of loan programs in your area and throughout the United States.

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General Information
Purpose: Pre-approval Seeking general information
This mortgage is for: Purchase Refinance
Is this for your primary residence? Yes No
Your current address
Address:
City:
State/Province:
Zip/Postal:
Daytime Telephone:
Evening Telephone:
E-mail: (required)
Fax:
How long have you been at this address?
Do you currently: Rent Own
What is your monthly payment?
Borrower
 Co-Borrower
Name of Borrower: (required)
First: 

Last: 

Age:

Marital Status
  Married
  Separated
  Unmarried (single, divorced or widowed)

Years in School:

Number of Dependants:

Dependants Ages:

Employers Name:

Your Job Position:

Work phone number:

Are you self employed?
  Yes
  No

How long have you been on this job?
  Years
  Months

Your gross monthly income:

Additional sources of income:

Amount of additional income per month:

Social Security Number (optional, but required if you want us to pull a credit report)

Name of Co-Borrower:
First: 

Last: 

Age:

Marital Status
  Married
  Separated
  Unmarried (single, divorced or widowed)

Years in School:

Number of Dependants:

Dependants Ages:

Employers Name:

Your Job Position:

Work phone number:

Are you self employed?
  Yes
  No

How long have you been on this job?
  Years
  Months

Your gross monthly income:

Additional sources of income:

Amount of additional income per month:

Social Security Number (optional, but required if you want us to pull a credit report)

  If Co-borrower is at a different address than Borrower:
  Your current address:
Address
 
City
State/Prov.
Zip/Postal
Day Phone
PM Phone
E-mail
Fax

How long have you been at this address?

Do you currently:
  Rent
  Own

What is your monthly payment?

Assets: (enter amounts for those that will be used for home purchase)
Checking:
Savings/CDs:
Retirement:
Mutual fund:
Stocks/bonds:
Other:
Gift:
Debts:
  Creditor: Monthly Payment: Balance:
1.
2.
3.
4.
5.
Do you own other real estate?
  Yes
  No

If yes:
Address
 
City
State/Province
Zip/Postal
Mortgage balance
Payment
Value
Property type: (2nd home, investment, etc.)

Price range and comments:
What is your purchase price range?
  From $ to $

What is the maximum you want your payment to be?
  $

Please add any information or comments that may help us obtain your loan approval:

Authorization to Release Income Information:


 
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