Randall Hunter - Licensed Mortgage Broker

Pre-qualification Form

Please fill out the form as thoroughly as possible and we will contact you at our first earliest convenience to discuss your financing options. This short form will provide us with enough information to get us moving forward in the process.

Type of Loan:
Property Type:
Use of Property:

Borrower Information
First Name:
Last Name:
SSN#:	example: 555-55-5555
Date of Birth:	/ /
Email:
Home Phone	example: (555) 555-5555
Cell Phone:	example: (555) 555-5555
Street Address:
City, State, Zip:
Do you own or rent at this address?:
Months at this address?
Months at Current Job/Employer Name:	example: 34 mo/Lowes
Monthly income:	gross amount (before taxes)
Marital Status:		Unmarried includes single, divorced, and widowed


Co-Borrower Information (If you plan to use an additional borrower to qualify)
First Name:
Last Name:
SSN#:	example: 555-555-5555
Date of Birth:	/ /
Email:
Home Phone w/Area Code:	example: (555) 555-5555
Cell Phone:	example: (555) 555-5555
Street Address:
City, State, Zip:	Ocala, FL 34470
Do you own or rent at this address?:
Months at this address:
Months at Current Job/Employer Name:	example: 34 mo/Lowes
Monthly income:	gross amount (before taxes)
Marital Status:		Unmarried includes single, divorced, widowed


Subject Property (If you have a contract, have a property in mind or are working with a realtor. Otherwise leave this area blank.)
Address:
City:
State:
Zip:
Loan amount:	$	estimate or leave blank
Purchase Price:	$	estimated or leave blank
Real Estate Agent:
Agent's Phone:


Personal Financial Information Release
I/We hereby authorize the release of any personal and /or financial information requested by Randall Hunter/ NorthStar Mortgage which may include: Employment and Income Verification Checking and Savings Deposit Verification Mortgage Loan Balances and Payment History Consumer Credit Balances and Payment History Any other pertinent personal or financial information
Additional Comments or Suggestions:
How did you hear about me?
Specific Source:
Do You Have a Real Estate Agent?	List Agent's Name
When should I contact you?

Is everything correct? If so, hit Submit.

Remember, this is just to see if you pre-qualify. There is no obligation.

By providing your social security number on this form, you will be speed up pre-qualification process. If you feel uncomfortable submitting your SSN over the internet please call me directly and I can take it over the phone. If you prefer, you can bring it by our office. Your pre-approval may take additional time if you choose this option.

QUESTIONS? Call 352-895-5810

EMAIL RANDALL