Short Application Form. This form will take less than 5 minutes. This is NOT a preapproval! We will not check your credit, nor will we verify any of this information. We use this form as a "Soft" qualification; a way to determine how much you would qualify to borrow, assuming all information is accurate and your credit is acceptable. We will contact you once we receive your information.

Complete Pre-Approval Form. This form will take 10-15 minutes. Use this form if you are ready to apply. This IS a preapproval! We will forward your information to one of our "Featured Lenders," who will pull your credit, verify income, and issue a pre-approval. This form is more in-depth, and will be sufficient for use when submitting an offer. This is a secure form, and your information can not be viewed by anyone other than the recipient. (If you prefer, we would be happy to have one of our Featured Lenders contact you instead.)

  SHORT FORM:

Have you selected a Property?   (If no, skip to section 2.)	Yes   No

1. ABOUT THE PROPERTY (IF APPLICABLE)

Purpose of Loan:		Please select one... Purchase, property has been identified Purchase, still looking for a property Refinance Construction Construction - permanent Home Equity Loan / Line of Credit
Property Value:   $
Loan Program:		Please select one... Not Sure Conforming 30 year fixed Conforming 30 year fixed biweekly Conforming 20 year fixed Conforming 15 year fixed Conforming 15 year fixed biweekly Conforming 10/1 ARM Conforming 30/7 or 7/1 ARM Conforming 30/5 or 5/1 ARM Conforming 3/1 ARM Conforming Adjustable Conforming 40 year fixed Conforming 10 year fixed Conforming 25 year fixed Jumbo 30 year fixed Jumbo 30 year fixed biweekly Jumbo 20 year fixed Jumbo 15 year fixed Jumbo 15 year fixed biweekly Jumbo 10/1 ARM Jumbo 7/1 ARM Jumbo 5/1 ARM Jumbo 3/1 ARM Jumbo Adjustable Jumbo 40 year fixed Jumbo 10 year fixed Jumbo 25 year fixed FHA 30 year fixed FHA 15 year fixed FHA Adjustable VA 30 year fixed VA 15 year fixed VA Adjustable Conforming 1 month COFI ARM Conforming 3 month COFI ARM Conforming 6 month CD ARM Conforming 1 year tbill ARM Jumbo 1 month COFI ARM Jumbo 3 month COFI ARM Jumbo 1 year tbill ARM
Preferred Lender:     (Click on and hold down "Ctrl" key     to select more than one lender)		Forward National Company DREW MORTGAGE ASSOCIATES RELIANT MORTGAGE, LLC UNION CAPITAL MORTGAGE
Loan Amount     Applying For:   $		Or% Down Payment:
Subject Property   Address:		Property City:
Property State:		Property Zip Code:
Property Type:	Please select one... Single Family Condominium Townhouse Cooperative Duplex Triplex Fourplex Planned Unit Development Other
Property Purpose:		Primary Residence Secondary Residence Investment (Rental)

2. ABOUT YOU

How did you hear about us?		Please select one... Search Engine B&B For Sale Sign B&B Client B&B Business Partner Online Yellow Pages Printed Phone Book Friend or Acquaintance
Your First Name:		Your Last Name:
Your Current   Address:		City:
State:		Zip/Postal Code:
Your Home Phone:		Your Work Phone:
By submitting this form with your telephone number you are consenting for The Brackett & Bates Team and any of their authorized representatives to contact you even if your name is on a Federal or State "Do not call List." We do not require a phone number to submit this form, so please do not enter a phone number if you do not wish to be called.
Your Cell Phone:		Your FAX Number:
Your E-mail:
Your Preferred Contact Method:		Home   Work   Cell Phone   E-mail
Best time to call you:		Mornings Afternoons Evenings

3. ABOUT YOUR CO-BORROWER (IF APPLICABLE)

Co-Borrower   First Name   (if applicable):		Co-Borrower   Last Name   (if applicable):
Co-Borrower   Home Phone:		Co-borrower   Work Phone:
By submitting this form with your telephone number you are consenting for The Brackett & Bates Team and any of their authorized representatives to contact you even if your name is on a Federal or State "Do not call List." We do not require a phone number to submit this form, so please do not enter a phone number if you do not wish to be called.
Co-Borrower   Cell Phone:		Co-Borrower   FAX Number:
Co-Borrower Preferred Contact Method:		Home   Work   Cell Phone
Best time to call Co-Borrower:		Mornings Afternoons Evenings

4. ABOUT YOUR CREDIT

My/Our Credit History is:		Excellent OK, but Some Problems Major Credit Problems No Credit History Yet I don't know
Comments/Questions:
Please double check ALL the information above. You may want to print this page for future reference. When you're done, click the "submit" button below and we will receive your information via e-mail.