Rehab. Pre-Qualification Worksheet

Borrower's Information:
Legal/Corporate Name:
Physical Address:
Mailing Address: (if different from Physical Address)
City:
State:	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AE AA AP
Zip:
Phone:
Fax:
Email:
Title:	Federal Tax ID:
Bus. Start Date:	Product/Service Sold:
Type of Entity: (Select One)

Have they had any rehab experience? YES # of years NO	# of properties in past year?
Do they have a Deal Right Now? Yes No	Closing Deadline?

Property Info: (Current Deal Info Target Deal Info )

Property Location: Please include State(s)	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY AE AA AP Property can not be Owner-Occupied.
Type of Property:	Single Family 2-4 Family 5Plus Condo Conversion Other
Purchase Price:	$	Rehab Cost (if any):	$
After-Repair Value:	$	Dates & Deadlines:	$

Financial Details:

*Cash & Liquid Assets? (Stocks, Bank Accounts, CD's, Mutual Funds)	$
Do you Own your own Home? Equity Available?	YES NO $
Do they currently have a HELOC (Line Amount)? How much Available?	YES NO $
Own additional properties? How Many? Equity Available?	YES NO
Revolving or Credit Card debt? If Yes, how much?	YES NO $

Other Information:

Employment Status: And Annual Income:	Full Self $
Additional Information & Comments:

*Asterisked field items on form MUST be completed for pre-approval.

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