Lawrence Ross 4141 B Street # 308 Anchorage, AK 99503 907-561-2227 BuyersRE@alaska.com

Pre-Qualification Form Instructions: Use the following form to request mortgage information. If you need help, call or email today. 1. Please fill out the general section. 2. Please fill out :         • The purchase section only if buying a home         • The refinance section only if refinancing 3. When finished click on the send button 4. Required Fields are in Red We will contact you. The more information you can provide, the better we can help you.  ------------------------------------------------------------------------------------------------------------     General Section Contact Information Name Home Phone Work Phone Fax Street City State Zip E-mail Best time to reach me Loan Request Purchase Refinance Loan amount desired is $ Personal Information Annual household income is $ My credit history is Excellent Good, but some lates Some credit problems Major credit problems Don't know  Monthly Debt Credit card minimum monthly payment Car Payment Student Loan Other *Do Not Include Insurance or Utility payments. Purchase Section FILL THIS OUT IF PURCHASING A HOME OR SKIP TO THE NEXT SECTION IF REFINANCING. Time Frame Thinking about it Actively Looking About to make an offer Have a sales contract Realtor Information I am working with a Realtor Please refer me to a Realtor I am buying directly from the seller I am buying directly from the builder Purchase Price I expect to buy a home between $ and $ Down Payment I expect to put between  % and  % down  Refinance Section FILL THIS OUT ONLY IF REFINANCING Property Value The property should appraise for $ Don't know Existing loans on property (if applicable) 1st_loan balance $ 2nd_loan balance $ 3rd_loan balance $ Reason for Refinancing Reduce Interest rates Change from fixed to adjustable Change from adjustable to fixed Need cash out. Cash out required $ Other, please specify:  Current loan type Fixed Adjustable Other, please specify:  Additional Comments:             Copyright © 2003-2005 Buyers Real Estate, All rights reserved 4141 B Street # 308 • Anchorage, AK 99503 Phone: 907-561-2227 • Email: BuyersRE@alaska.com Designed by Sundog Media & Alaska Internet Services