Rehab Pre-Qualification Form   
 

            *Required Fields for Pre-Approval

Borrower Information
*First Name:	*Last Name:
*Date of Birth:	(mm/dd/yyyy)
*Username:
*Password:
*Street Address:
*Address (cont.):
*City:	*ST: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY            *Zip:
*Work Phone:	*Cell Phone:
*E-mail:
*Rehab Experience:	Yes       # of Years:        How Many Rehabs:
	How many rehabs planned for the next 12 months:
Property Information
*Deal Type:	Current Deal Info    Target Deal Info (Do you have a deal right now?)
	If Yes, Closing Deadline:
Property Location/ Target Area:	Property cannot be Owner-Occupied. Please include states(s).
Type of Property:	Single Family       2-4 Family          5-Plus
	Condo Conversion                  Other
Purchase Price:	Rehab Cost (if any):	$
After-Repair Value:	Dates and Deadlines:
Credit/Financial Details
*Credit Scores:	(660 Mid Score to Qualify)  Check at MyFICO.com
*Cash & Liquid Assets:	(Stocks, Bank Accounts, CD's, Mutual Funds)
Owns own Home:	Yes       No      If Yes, Equity Available:	$
Do you have a *HELOC?:	Yes       No      If Yes, Total Line Amount:	$
	*Home Equity Line of Credit (HELOC) Available:	$
Owns Other Properties:	Yes       No      If Yes, How Many:
	Equity Available:	$
Revolving/CC Debt:	Yes       No      If Yes, How Much Owed:
Revolving/CC Debt:	Yes       No      If Yes, Total Lines Amount:
*Employment Status:	Employed  Self-Employed  Annual Income:	$
*Employer Name:
*Position Title:
*Street Address:
*Address (cont.):
*City:	*ST: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY            *Zip:
*# of Years with Your Employer:
Additional /Comments: