Getting Started Online

Welcome to our secure online pre-qualification form.

First Name

M.I.

Last Name

Date of Birth

Street

City

State

Zip

Home Phone

Business Phone

Mobile/Page/Alternate

Fax

Email Address

Contact Me at
No PreferenceHome PhoneBusiness Phone

Best Time to Call
No PreferenceMorningAfternoonEvening

Total Gross Yearly Income (Income Before Taxes) *
$
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co- Borrower(C) does not choose to have it considered for repaying this loan.

Current Employer

Number of Years

Co-Borrower Information
Will there be a co-borrower on this loan?
No co-borrowerSpouseOther

First Name

M.I.

Last Name

Date of Birth

Referral Information

Referred by

Loan OriginatorNo PreferenceMcMullen, April Ann - NMLS #1004794 - HarvardMartin E Grant NMLS # 652521 - OregonTom Matthew Raine NMLS #261298
If you would like to work with a specific loan originator, please select the name above.

Loan Information

Loan Purpose
No PreferencePurchaseRefinance

Property Type
No PreferencePrimary ResidenceSecond Home/Vacation HomeInvestment Property

Purchase Price
$

Amt Avail for Down Payment on Closing Costs
$

Your Message