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PRE-APPROVAL
Please fill out the below information, this will be useful for us to pre-qualify you for your personal mortgage needs. The information that you are providing is confidential.

Our form is currently being worked on and will not work if you fill it out. Please direct and questions or applications to 414-778-1022 or 877-392-9600. We're sorry for any inconvenience. 

Borrower Information
Primary Borrower
First Name M. Initial Last Name
Current Street Address Apt.

City

State

Zip Code

How Long (yrs.)

Social Security Number

Date of Birth

(mm/dd/yyyy)

Co-Borrower

First Name

M. Initial

Last Name

Current Street Address

Apt.

City

State

Zip Code

How Long (yrs.)

Social Security Number

Date of Birth

(mm/dd/yyyy)

Income Information - Primary Borrower

Employer

Position

How Long (yrs.)

Gross Income

   weekly monthly yearly  (check one)

Are you self employed? yes  no

Other Income Sources - Primary Borrower

List Income Amount

Rental Income 

2nd Job 

Social Security 

Child Support/Maintenance

Other

Income Information - Co-Borrower

Employer

Position

How Long (yrs.)

Gross Income

  weekly monthly yearly  (check one)

Are you self employed? yes  no

Other Income Sources - Co-Borrower

List Income Amount

Rental Income 

2nd Job 

Social Security 

Child Support/Maintenance

Other

Contact Information

Please complete the information below so that we may contact you in the most convenient way.

Home Phone    Best Time To Call:

Work Phone    Best Time To Call:

Email address 

By submitting this application, I (we) hereby give Mortgage Specialties, Inc. permission to verify my (our) personal credit history(s). It is understood that this information will be kept private and confidential.
IMPORTANT: Please click on the Submit Form button to email this form, or print this page to mail to the address below or fax to the number below.

  

"Let Us Save You Time & Money" and we look forward to a personal interview for your mortgage needs.

Mortgage Specialties
8626A West Greenfield Avenue Suite 100
West Allis, WI 53214
414-778-1022 or 1-877-392-9600 (Outside Milwaukee Metro)
FAX: 414-778-1036
Email: info@mortgagespecialtieswi.com

  
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