1.What is the property type?
  
2.What will the loan be used for?
  
3.What type of loan do you need?
  
4.Where is the property located?
  City:
  State:
  ZIP Code:
 
1. What is the purchase price of the property?
(If you haven't chosen a property yet, tell us the amount you plan to spend.)		 $ 
2. How much will you be putting down?
(Include cash in your bank accounts and all liquid assets, such as stocks and bonds and gift contributions from relatives or friends.)		 $ 
3. a. Have you found your new home?  
  b. If yes, do you have a signed sales contract?  
4. Are you a first time homebuyer?  
5. Do you currently rent or own your current residence?  
  Monthly rent/mortgage: $ 
6. What is the purpose of this loan?  
7. When do you anticipate closing?    days
8. Do you prefer a fixed or adjustable rate?    
9. What is the desired term?    
10. Would you consider a mortgage that does not require documentation Of your income or assets?  
 

The answers to these basic questions will help us process your information.
1. Marital status:  
2. Please tell us about your current work status:  
3. Occupation:  
4. How long have you been at your present job?  
5. Are you self-employed?  
6. What is your monthly income $ 
  (Includes salary, commissions, bonuses and the monthly income of any members of your household who will be applying for the loan with you.)
7. What do your bills total each month $ 
  (Please include all debts you pay consistently each month, such as student loans, car loans, credit card bills, alimony, etc. Do not include the amount you pay for housing.)
8. Please estimate your credit history:  
9. Have you filed for bankruptcy in the past seven years?  
  If 'Yes' above, has the bankruptcy been discharged at least two years?  
10. Do you currently have any tax liens or judgements against you and your property?  


About You
Please complete the following questions and a Prime Plus representative will contact you with a customized rate quote.

1. Name Mr. Mrs. Ms.
First name MI
Last name
Spouse's name
2. Social Security Number   - -
3. Date of birth - -
4. Address
5. City
6. State
7. ZIP Code
 
How we can get in touch
Please complete the following questions:
8. Home telephone --
9. Cell phone --
9. Work telephone --
10. Fax --
11. Email
12. Confirm email address
13. Best time to contact
     How would you like to be contacted?
14. Additional comments
Thank you for choosing Prime Plus and for using our online service in your search for home financing.

Submit your completed questionnaire and we'll begin our search.