Complete this Prequal form and see the best rate you can qualify for?

1. Home Loan Prequalification Sheet
17550 N. Perimter Drive Ste. 180
Scottsdale, AZ 85255
(602) 430-2639
Send to: Matt Baker at mbaker@mmcdcorp.com
Borrower/Co-Borrower Information Date:_____________________
Names:___________________________________________________________________________________
Current Addres:_____________________________________________________________________________
Home Phone:_____________________ Cell:______________________ Fax:____________________
Email Address:_____________________________________________________________________________
How Long at Current Address:___________ Own/Rent Monthly Payment:_____________
Borrower Social Security #:_______________________ Date of Birth:___________________
Co-Borrower Social Security #:_____________________ Date of Birth:___________________
Employment
Borrower Employer:_________________________________________ Occupation:_____________________
Base Annual Income:__________________________ W-2/ 1099 /SELF No. of Years:_______________
Co-Borrower:______________________________________________ Occupation:_____________________
Base Annual Income:____________________________ W-2/ 1099 /SELF No. of Years:_____________
Loan Information
Circle One: Purchase / Refinance (No CASH or Cash out) Cash Out Purpose:_________________
If Purchase, Sales Price:_________________________ or Appraised Value:__________________________
Loan Amount:_____________________________ Terms: 30 year Fixed or ARM (Type:_______________)
Property Tax:___________________ Insurance ( if known):_________________
Down Payment ( if Applicable):________________________ Source of Down Payment:________________
Estimate Consumer Debt Monthly: Car:___________ Credit Cards:____________ Other:_______________
I/We hereby affirm that the above information is true and correct to the best of our knowledge and authorize Mason McDuffie
Mortgage and Matt Baker, to order an infile credit report, if needed. The information will be used for the purpose of mortgage lending
only, and your information will be protected by the standards of The Identity Theft Act of 1998.
Borrower Signature:___________________________ Co-Borrower Signature:____________________________