Louisiana International Mortgage Corporation

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Realtor Name & Company
 Phone Number
Borrower's FULL name
Co-Borrower's FULL name

Social Security Number Borrower                
Social Security Number Co-Borrower     
Borrower's home address:

City, State, Zip:

Borrower's Contact Phone Number:   
Borrower's Email Address:  

Occupations:
        Borrower          
        Co-borrower     

Employed        Self-employed   

Gross Monthly Income -- Borrower    
Gross Monthly Income -- Co-Borrower    
Total Monthly Mortgage, Rent or housing payment:  
Total monthly payments for all owned or leased autos:
Total monthly minimum payments due on credit cards/revolving credit:
Total monthly payments for all other debt:
Monthly alimony and/or child support payments:
Available funds for down payment and closing costs:

Type of loan preferred:      
30-year fixed:        15-year fixed:        
Adjustable rate mortgage:   

If a purchase, what is the asking price?
Loan amount requested:

IF REFINANCING:

Value of Property:
Loan Amount Requested:

Please, feel free to call us with any questions on this worksheet.  THANK YOU!

This Prequalification is based on information you provided and does not guarantee a loan approval without full documentation.

 

 

 

 

 

 

4405 N. I-10 Service Rd. | Suite 306 | Metairie, La 70006  | Ph. (504) 454-7210 | Fax (504) 454-7213 | (800) 535-7310