Dowagiac Real Estate, Niles Real Estate, South Bend Metro Area Real Estate

Landmark Mortgage Group

Pre-qualification & Authorization

Phone:	1-574-233-7767
Toll Free:	1-888-355-6200

Please fill out the following information accurately and press the I AGREE button to begin a mortgage pre-qualification. Someone from Landmark Mortgage Group will contact you to complete the application process. * Indicates a required field
Date:
Loan Officer Name:		Gary A. Booth
Realtor/Contractor:		Springsteen Realty
Agent Name:		Dave Springsteen
Borrower's Name:		*
Borrower's SS #:		*
Co-Borrower's Name:
Co-Borrower's SS #:
Current Address:		*
City/State/Zip Code:		* *
Do you currently Rent or Own?:		*
How long have your lived here?:		*
Home Phone #:		*
Work Phone #:
Borrower's Employer:		*	How Long?:	*
Co-Borrower's Employer:			How Long?:
Borrower's Gross Monthly Income:		$ *
Co-Borrower's Gross Monthly Income:		$
Are there any other sources of income? If so please list amounts and type of income:
Down Payment (enter 0 if none):		$ *
	By clicking on the button below, the above individual(s), hereby authorize Landmark Mortgage Group to obtail a FREE In-file Credit Report on them for the purposes of pre-qualifying them for a Mortgage Loan. Landmark Mortgage will contact these individuals directly to discuss the results of the pre-qualification.