Free On-Line Pre-Qualification Short Pre-Qualification Form Required Information (*) * Applicant's Name: Co_Applicant's Name: Mailing Address: E-mail: * Daytime Phone: Evening Phone: Applicant Social Security Number: Co-Applicant Social Security Number: Applicant Date of Birth: Co-Applicant Date of Birth: Present Employment: Applicant: from: to: Yearly Income: Co-Applicant: from: to: Yearly Income: Do you own a home? Yes No If yes, will you rent it or sell it? Rent Sell Not sure Cash available for down payment: I am looking for the following loan: Zero Down Payment Home Loan 1% Down Payment Home Loan 3% Down Payment Home Loan 5% Down Payment Home Loan 10% Down Payment Home Loan 25% Down Payment Home Loan Loans with No Closing Cost VA Loan Adjustable Rate Loan No-Point Loan Note: By submitting this form, I/we hereby authorize Barbara Sipos and Associates and/or their affiliate mortgage lender to obtain an in file credit report from a credit reporting agency.  I/we also agree to allow Barbara Sipos and Associates and/or their affiliate members to contact me regarding my qualifications. Barbara Sipos and associates, LLC Licensed Real Estate Consultant E-mail: barbarasipos@remax.net Cell: 703-772-7205 Fax: 703-383-6645   RE/max Choice 703-978-9400 Ext. 41 10511-A Braddock Rd Fairfax, VA 22032   Equal Housing Opportunity