MORTGAGE LOAN PREQUALIFICATION REQUEST – FAX to (800) 375-6160

 

Today’s Date:
Borrower Name:
Co-Borrower Name:
Borrower Street Address:
Borrower City State Zip:

 

CONTACTS – You prefer to be contact via o Email  o Home Ph  o Work Ph  o Cell

Borrower Email:
Co-Borrower Email:
Borrower Home Phone:		Co-Bor Home Phone:
Borrower Work Phone:		Co-Bor Work Phone:
Borrower Cell Phone:		Co-Bor Cell Phone:

 

SUBJECT PROPERTY

Subject Property Street:
Subject Property City:
Subject Property State:
Subject Property Zip:

 

INCOME and ASSETS (Notice: Alimony, child support, or separate maintenance income need not be revealed

if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan)

Borrower Total Monthly Income:	$
Co-Borrower Total Monthly Income:	$
Total Money Available for Transaction:	$

 

LOAN DETAILS

Purchase Price or Value of Subject Property:		$
Requested Loan Amount:		$
This is a:	o Purchase   o Refinance
You prefer a:	o Fixed Interest Rate   o Adjustable Rate Mortgage   o Home Equity Line

 

MACKINAC STAFF MEMBER YOU HAVE BEEN IN CONTACT WITH:

o Beverly Cameron  o Cyndi Howie  o Terry Fraser  o Jeff Fine  o Brad Jeters   o Susan Baur  

o Beth Brandt   o Dave Frechette  o Steve Bylund   o Deb Morrissey   o Patricia Whelan  o No one

 

QUESTIONS?  CALL  (800) 829-9259 ext 227.  FAX REQUESTS TO (800) 375-6160