Carlton Home
Mortgage, L.L.C.
Pre-qualification
Form
Instructions
1. Use this form to request mortgage information.
2. Print out form.
3. Please fill out as much of this form as possible.
4. Fax or mail form to Carlton Home Mortgage, L.L.C.
| Fax Number: 334-295-1008 |
| Carlton Home Mortgage, L.L.C. 107 Coats Avenue West Linden, AL 36748 |
A loan officer will contact you. A phone number is required.
General Information
| Borrower | Co-Borrower |
| Full Name: |
| Address: |
| City, State, Zip: |
| Home Phone: |
| Work Phone: |
| E-mail: |
| Social Security# (optional): |
| Are you self employed? |
| Gross Monthly Income: |
| Time on Current Job: Yrs: Mos: |
| Time in Same Line of Work: Yrs: Mos: |
| My credit history is: | excellent good, but some lates some credit problems major credit problems |
excellent good, but some lates some credit problems major credit problems |
Loan Request
| Amount
Requested: |
| Type of Loan: | Purchase Refinance 2nd Mortgage Equity Line Home Improvement Debt Consolidation |
Property Information
(This information needs to be filled out for property that is collateral for the loan if different from your present address.)
| Street
Address: |
| City, State, Zip: |
| Estimated Present Value: |
| Purchase Amount: |
| Purchase Date: |
| Expected Down Payment: |
| Type of Property: | Primary
Residence Vacation Home Investment Property |
Loan Information
| Mortgage Balances | Amount: | Held By: | Payment: |
| First: |
| Second: |
| Other: |
Other information and comments: