Ken Haltiner Real Estate

Prequalifaction For Loan Application

Your Full Name

Street Address

City

State

Phone Number

Zip

E-mail address

Purchase Price  (if you are buying this home)

$

Estimated Value of your home if you are refinancing

$

Loan amount (the amount you wish to borrow)

$

Will this loan be place on your:

Primary Residence

Vacation Home

Rental Property

Your current monthly salary from all sources

$

Monthly commissions or bonuses averaged for the last two years, if any.

$

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.

$

Ken Haltiner Real Estate  2016 3rd St. Tillamook, Or 97141
503.842.4428    1 800.842.4428  fax: 503.842.4412

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