San Diego Home Mortgages, Refinance, Debt Consolidation and Home Equity Loans

Pre-Qualification Application
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*Required Fields **Required for Refinance

*Myself*	*Me and* *Spouse*	*Me and Co- Borrower*
*My Name (last, first, middle initial):	Spouses Name (last, first, ...):	Co-borrower Name:
My E-mail Address (example@donh.com/hlc/):	Spouses E-mail Address:	Co-borrower E-mail Address:
My Employer:	Spouses Employer:	Co-borrower Employer:
*My Social Security Number (SSN):	Spouses SSN:	Co-borrower SSN:
IMPORTANT: Name of Person Who Referred You to This Website (if known):

*— Myself —*				*— Me and Spouse or Co-borrower Information —*
Job Title or Position:				Job Title or Position:
* Years on the job:				Years on the job:
* Years in current field:				Years in current field:
* Gross Income -- or -- Earnings After Taxes for Self-Employed:				Gross Income -- or -- Earnings After Taxes for Self-Employed:
Other Income Sources (optional):				Other Income Sources:
Work Phone:				Work Phone:
* Home Phone:				Home Phone:
Cell Phone:				Cell Phone:
E-mail Address:				E-mail Address:

*— My Mailing Address —*				*— Co-Borrower Mailing Address —*
* Address:				Address:

*City:				City:
* State/Zip Code:				State/Zip Code:

*— Subject Property Address —*
**Address:
**City:		**State/Zip Code:
**County:

*— Refinance Information —*
**Purchase Date:		Purchase Price:		Current Home Value:

**First Mortgage Balance:		**First Mortgage Payment:		**First Mortgage Int. Rate:

**2nd Mortgage Balance (If Applicable):		**2nd Mortgage Payment:		**2nd Mortgage Int. Rate:

*— Purchase Information —*
Monthly Rent Payment (If Renting):

*Total Monthly Debts:	$	Total Balance owed:	$	* Total Monthly payments:	$

Type of Loan:
Conventional FHA VA Other

Current Home:
Single Family House Mobile Home Condominium Other

Purpose Of Loan:
Purchase Refinance Rate & Term Cash out/Refinance Debt Consolidation
Home Improvement Construction Other

* Requested Loan Amount

Down Payment Available (Purchase Only):

Desired Monthly Payment:

Credit Grading (1 to 10): (1=lowest, 10=highest)

Desired Closing Date: (when you would like loan to be funded)	15 Days 30 Days 45 Days 60 Days 120 Days

Loan Term/Type Desired:	30 Years Fixed 20 Years Fixed 15 Years Fixed Fixed/Adjustable A.R.M.

Best Time to Call:

Best Place to call:	Home Work Cell Phone

How did you find us?

Comments:

BY CLICKING THE SUBMIT BUTTON I hereby authorize American Home Loans San Diego to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize American Home Loans San Diego to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information that American Home Loans San Diego obtains is only to be used in the processing of my application for a mortgage loan.

AHL is a California Licensed Mortgage Banker licensed by the Department of Corporations (RML) License 413-0306. American Home Loans is licensed by the Department of Real Estate #01176613. Not all programs are available in all areas. Program restrictions apply. CBSK Financial Group Inc. d/b/a American Home Loans, 6 Hutton Centre Drive, Suite# 700, Santa Ana, CA 92707 is licensed, registered or exempt from licensing to conduct business in all states (excluding AL & GA). CBSK Financial Group d/b/a American Home Loans is an Arizona Mortgage Banker #BK0017319; Loans are made or arranged pursuant to a Department of Corporations California Finance Lenders license; CA Department of Real Estate - Real Estate Broker license #01176613; Illinois Residential Mortgage Licensee #5028 as American Home Loans by the Commissioner of Banks and Real Estate, Suite# 2130, 310 South Michigan Avenue, Chicago, IL 60604 (312-793-3000); Registered with the Kansas Department of Banking; MA Mortgage Lender #ML1178 & Mortgage Broker #MB1677; Licensed as a Mortgage Banker #5371MB and #5387MHL by the New Hampshire Banking Department; Licensed by New Jersey Department of Banking and Insurance: Licensed Mortgage Banker and Mortgage Broker - NYS Banking Department; Licensed by the Pennsylvania Department of Banking; Rhode Island Lender and Broker Licensee. American Home Loans Underwriting Guidelines apply to all loan programs. All rights reserved. Information accurate on printing date: 12/04/02.