Re/Max Affiliates, Inc., David G. Schneider   Phone: (859) 635-3126

Mortgage Rates   Bookmark Website   Home   Team Members   MapQuest   Mortgage Information   Recommended Vendors   Relocation Info   Guestbook   Prequalify   Today's News   Today's News--N KY Post   The Auction Gallery FOR BUYERS   David's AUCTIONS   David's LISTINGS   Real Estate Magazines   Property Search-National   Property Search-N KY   Dream Home   Useful Links FOR SELLERS   Market Analysis   Ask an Expert RESOURCES   Area Communities   Area Profile   Free Reports   Area Weather   Area Libraries   Area Schools   Terminology   Calculator   Site Map   Our Friends   Mailing Lists CONTACT   Tell a Friend   Contact Me 318,559 page views since Feb 2006 PREQUALIFY Borrower Information:   Borrower (Full Name): Date of Birth: (ex. dd/mm/yyyy) Soc. Security #: Residence Phone #: Business Phone #: Present Address: City: State/Province: Zip Code/Postal Code: E-mail Address Years at Present Address:   Rent $  /month or Own $   Previous Address: City: State/Province: Zip Code/Postal Code: Marital Status: Married Separated Unmarried (including single, divorced, or widowed)     Occupation:    (Position & Title) # of years: Place of Employment:   (Name & Address) Previous Employer:    (Name & Address) Co-Borrower Information:   Co-Borrower (Full Name): Date of Birth: (ex. dd/mm/yyyy) Soc. Security #: Residence Phone #: Business Phone #: Present Address: City: State/Province: Zip Code/Postal Code: E-mail Address Years at Present Address:     Rent $  /month or   Own $    Previous Address: City: State/Province: Zip Code/Postal Code:   Marital Status: Married Separated Unmarried (including single, divorced, or widowed)   Occupation:    (Position & Title) # of years: Place of Employment:    (Name & Address) Previous Employer:    (Name & Address) Gross Annual Income:   Borrower Co-Borrower Self-Employed ? Yes    No Yes    No Base Salary: $ $ Overtime: $ $ Bonuses: $ $ Commissions: $ $ Dividends: $ $ Net Rental Income: $ $ Other: $ $   Total: $ $   Do You Intend To Occupy This Property ?    Yes     No Number of Children: Ages: Other Dependents:   Assets:   Other Assets (Specify): Checking: $  Bank: $  Bank: Savings: $  Bank: $  Bank: Credit Union: $  Bank: Stocks: $ Bonds: $ Life Insurance: $   Present Residence  (If Owned): Market Value: $ Morg. Value: $ Lender:     Liabilities:   (List outstanding obligations including auto loans, mortgage payments,credit cards, personal loans, and all other loans.)   Type Creditor's Name Unpaid Balance Due Date Monthly Payment $ $ $ $ $ $ Total:   $ $   Additional Monthly Obligations: Alimony:  $ Child Support:  $ Child Care:  $   Are There Any Judgements or Lawsuits Present?   Yes    No Amount:  $ Is Any Part of the Down Payment or Settlement Costs Being Obtained From a Source Other Than From Assets Listed Above?   Yes    No I hereby give my consent to have my credit report secured from any credit reporting agency which you designate.   Yes    No Re/Max Affiliates, Inc., David G. Schneider 2893 Alexandria Pike, Highland Heights, KY 41076 Phone: (859) 635-3126

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