Kevin's Prequalification

Kevin's Prequalification

Quick Prequalification Request

Kevin Johnson

Vice President

734-213-0300 office

734-213-5900 fax

First Name: *
Last Name: *
SSN: *
Email: *
Home Phone:
Date of Birth:
Present Address:
Name of Employer:
Gross Annual Income: *
Years at This Job:
Co Borrower:
SSN:
Email:
Date of Birth:
Present Address:
Name of Employer:
Gross Annual Income:
Years at This Job:
Purchase Price:
Mortgage Amount:
Funds Available for Transaction:
Do you have a house to sell?:
Enter Code Shown:*

CERTIFICATION AND AUTHORIZATION TO RELEASE INFORMATION

1. I/We have requested prequalification for a mortgage from Money Source Financial Services.

2. To request prequalification, I/We have provided various information including employment and income information. I/We certify that all the information is true and complete. I/We have not made misrepresentations in the prequalification request or documents I/We have provided, nor did I/We omit any pertinent information.

3. I/We have requested prequalification for the purpose of purchasing or refinancing a home. Money Source Financial Services may verify information contained in my/our prequalification request and in other documents related to the request.

4. I/We authorize Money Source Financial Services, Inc. obtain my/our credit report through an authorized credit bureau.

5. A copy of this authorization is acceptable as an original.