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 Ph:

 

Co-Bor Home Ph:

 

Borrower Work Ph:

 

Co-Bor Work Ph:

 

Borrower Cell Ph:

 

Co-Bor Cell Ph:

 

 

SUBJECT PROPERTY

Subject Property Street:

 

Subject Property City:

 

Subject Property State:

 

Subject Property Zip:

 

 

INCOME and ASSETS

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 Tim Maher  o No one

 

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