Mortgage Prequalification Form
Please complete either Name or Email lines to ensure processing.
Name:
Current Member of the Credit Union?
Address:
City / State / Zip Code:
Email:
Phone:
Purpose of Mortgage Loan Request:
Purchase
Refinance
Cashout
Property Type:
Single Family
Townhouse
Condo
Duplex
Manufactured
Property Status:
Owner Occupied
Investment
Second Home
Property Value:
1st Mortgage Balance:
2nd Mortgage Balance:
Annual Taxes:
Annual Homeowners Insurance:
Monthly Mortgage Insurance:
Total Monthly Mortgage Payment:
Includes Escrow?
Current Mortgage Rate:
Current Mortgage Type:
Conventional
FHA
VA
Additional Comments:
Enter the letters you see below in the box below:
Please note:
This information
IS
NOT
being sent via a secure connection.
Your savings are now federally insured to at least $250,000.00 by the National Credit Union Administration (just like FDIC).
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