Mortgage Qualification

Thank you for your interest.

Home Mortgages come in several varieties with many features and options. For example, you can choose a mortgage that has a fixed interest rate for seven years, and then the interest rate would adjust to the current market rates. If you're like most Americans, your home is your most expensive asset. Your choice of a mortgage is critical when planning for your future.

After completing the form, please click on the "Submit" button. Your information will be emailed to our offices and we will process your request. All information will be kept confidential.

» Required Fields

Contact Information

Borrower Information

Full Name:

Address:

City:

State:

Zip:

Phone:

» Email Address:

Co-Borrower Information

Full Name:

Address:

City:

State:

Zip:

Phone:

Email Address:

Mortgage Information

Type of Mortgage:

Conventional VA FHA FmHA Other

Purposer of Loan:

Purchase
Refinance
Construction
Construction-to-Perm
Other

Desired Loan Amount:

Estimated Purchase Price of Property:

Estimated Downpayment:

Length of new loan:

7 Years 10 Years 15 Years 20 Years 30 Years

Type of Mortgage:

Fixed Rate GPM ARM Other

If refinancing, what best describes your reason:

Change in Rate/Term
Cash Out
Home Improvement
Debt Consolidation
Change in Loan Type
Other

Personal Information

Borrower Information

Age:

Self Employed?

Yes No

Employer:

Hire Date:

Monthly Income:

Other Monthy Income:

Co-Borrower Information

Age:

Self Employed?

Yes No

Employer:

Hire Date:

Monthly Income:

Other Monthy Income:

Combined Assets

Checking:

Savings:

CDs/Stocks/Bonds:

401Ks/IRAs:

Combined Obligations

Credit Card Balance:

Auto Loans:

Other Loans:

Child Support:

Information on Current Property

Address:

City:

State:

Zip:

Number of Units:

Occupancy Type:

Primary Residence Secondary Residence Investment

Ownership:

Fee Simple Leasehold

Estimated Property Value:

Is there any other additional information you would like us to consider as we process your request?

These quotes do not guarantee coverage and
actual premiums may differ from the quotes provided

John Star Emerald Connect

15050 Avenue of Science

San Diego, CA 92128

Phone: Office 858.592.6262 Toll Free 800.233.2834 Tech Support 800.233.2834 option 1

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Fax: 858.267.2465

duffy.pfyfn.com

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emerald.sales@emeraldconnect.com

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