Pre-Qual Letter & Free Credit Report Request Form
Please fill required fields for processing. Required fields are marked with an asterisk.*

You may submit this form electronically or via fax: 808-942-7776

Borrower Information

    


*Primary Borrower:

Co-Borrower:


Social Security #:
Social Security #:
*Current Home Address:
*Telephone Number:
    

Please provide client's telephone number to obtain credit authorization as required by Federal Law. 

 

Property Information:

  
*Loan Purpose:
Purchase
Refi Rate & Term
Refi Cash-Out
*Property Type:
Single Family
2-4 Units
Warrantable Condo
Non-Warrantable Condo
Doc Type:
Full Doc
No Doc
Stated Income
*Occupancy:
Owner Occupant
2nd Home
Investment

*Purchase Price

Down Payment


*Please select either SFR Leasehold, SFR Fee Simple, Condo Leasehold or Condo Fee Simple.
SFR (Single Family Residents):
 Leasehold Fee Simple
Condo:
 Leasehold Fee Simple

 

*Subject Property Address:

 
Agent Name:
Agent Company:
Agent Cell #:
Agent E-mail Address:
Comments: