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New York and Connecticut Real Estate
Mortgage Services

Bettina Rizzo Tel: 203-223-6351 Max Dominguez Tel: 203-223-3684 296 Bedford St Stamford, CT 06901 Century 21 Roman Realty Tango Team Cell: 203-223-3684/203-2236351 Fax: 1-866-873-4637

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Loan Pre-qualify Form Loan Application Refinance Application Application Checklist

Pre-qualify for a Mortgage

Pre-qualifying is one of the first steps toward obtaining your loan. Please fill out and submit the form below, and I will contact you right away so we can discuss the various loan options that may be available to you.

Fields marked with an * are required.
 
First Name: *
 
Last Name: *
 
E-mail: *
 
Address:
 
Zip Code:
 
City:
 
Daytime Phone: *
 
Evening Phone:
 
Purchase Price:
 
Estimated Value of Your Home if You Are Refinancing:
 
Loan Amount:
 
Will this loan be placed on your?:
 
Your current monthly salary from all sources:
 
Your monthly commissions or bonuses averaged for the last two years, if any:
 
Current monthly financial obligations (minimum $ due):
 
Your total liquid assets i.e. checking, savings, stocks, bonds, IRA's, CD's, money market accounts, 401K plans, etc. that have been under your control for at least the last 90 days.
 
Additional Comments:
 
 
 
* Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.