When do I need a mortgage broker?

Providing this information to Gina is step one in securing your dream. Once this information is submitted to Gina she can begin the process of finding the mortgage that fits your needs. Rest assured that Gina will keep this information confidential.

This form has two parts -Part I will prequalify you for a loan and give Gina an idea of what your financial needs are. -Part II of this form will allow Gina to finalize the loan process and pre-approve you for a loan.

If you have any questions or need help don't hesitate to call or email Gina. She's happy to help you.

Fields with an * are required.

Prequalification & Application Form

Part I

A. Type of Loan You Are looking For

Purpose of loan*

B. Information About You

Your name*
Your address*
How long have you been at this address?*
Will there be any one else on the loan with you?* Yes
If yes, their name*
Their address
How long at that address?
Relationship to you (Married etc.)

C. Your Employment

Who is your employer?*
Are you self employed?* Yes
How long at this job?*
How long in this line of work?
Gross Monthly Income (Pre-Tax)

D. Your Assets

Checking and Savings
Retirement (IRA's 401(k) etc.)
Stocks & Bonds

E. Your Liabilities

Type of debt Monthly Payment Balance due

F. Property Information - Type of Property You Are Looking to Finance

Property location
Zip code of Property
Property type*
Property use*
Estimated property value
e.g. 100000 (estimate OK)

G. Complete This Section if Your Loan is a Refinance

First Mortgage balance on property*
e.g. 50000 (estimate OK)
Monthly payment*
e.g. 800 (estimate OK)
Interest rate
% e.g. 7 (estimate OK)
Are there other mortgages on this property?* Yes
Balance of additional mortgages*
e.g. 20000
(do not include balance of first mortgage)
(estimate OK)
Monthly payment
e.g. 800 (estimate OK)
Which mortgage(s) do you wish to refinance?*
How much additional cash do you wish to borrow?
e.g. 25000 (estimate OK)
Preferred rate type
Preferred loan term
Are Real Estate Taxes and Homeowner's
insurance to be included in this payment?

H. Complete This Section if Your Loan is For a Home Purchase

Target sale price of home being purchased

If you know the Property taxes and Home owner's insurance include them here
Property Taxes
Maximum monthly payment of new home
Amount of money available for down payment and closing costs
How long do you see yourself living in this property?
Are Real Estate Taxes and Homeowner's insurance to be included in this payment? Yes
Do you prefer a fixed rate, ARM, or balloon?

I. Your Financial Information Declarations

Are there any judgments against you?* Yes
Have you ever been declared Bankrupt in the past 7 years?* Yes
Are you currently delinquent on any debt?* Yes
Are you a US citizen?* Yes
Are you a permanent resident alien?* Yes

J. Other Information

When do you want to close this loan?*
How did you hear about Gina Brown?*
What is the name of the referral source?
What is your current loan goal?
E-mail address and/or phone number*
Best time to reach you via phone

Part II

K. Optional Section: Complete this section if you would like Gina to pre-approve you for a loan

Please share any additional information that would assist Gina
in meeting your objectives
Borrower 1: Please read the Borrower's Certificate & Authorization
form and accept or decline from the box at right*
Borrower 1's SS#
Birthday of Borrower 1
Borrower 1: Do you authorize us to pull your credit report? Yes
Borrower 2's SS#
Birthday of borrower 2
Borrower 2: Do you authorize us to pull your credit report? Yes

L. Information for Government Monitoring Purposes

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Borrower 1 I do not wish to furnish this data
Borrower 2 I do not wish to furnish this data
© 2011 Loans by Gina All rights reserved.
Senior Loan Officer, Mortgage Capital Associates, Inc.
4610 200th Street SW Suite D, Lynnwood, WA 98036
cell: 425.766.5408, office:425-275-0633, eastside: 425-285-3451
tel: 425.275.0600, fax: 425.275.0649
www.LoansByGina.com, license: #MLO-115337