First Name* Last Name* Home Phone* Cell Phone Work Phone Email Address* Preferred Contact Method*
By Phone By Email
Preferred Contact Time* Morning Afternoon Evening

Borrower Information

Monthly Income

Monthly Expenses

Cash Available for Closing

Checking Savings Stocks and Bonds Sale of Real Estate Gift Funds Other

Your New Home

Desired Home Community
Sherman Oaks Studio City Valley Village
Desired Sales Price Desired Monthly Payment Approximate Down Payment Is this an investment property?
Yes No Are you a U.S. Citizen?
Yes No Are you relocating?
Yes No Credit Issues or Statements
Veteran Status

Credit Report Consent

By providing your social security number(s) and clicking the Submit Form button, you are expressly authorizing us to obtain a consumer credit report through a credit reporting agency chosen by us. You understand and agree that we intend to use this consumer credit report for purposes of prequalifying your financial readiness to buy a home.

In addition, by clicking the Submit Form button you agree you are expressly authorizing us to contact you at any telephone number or email address you entered, so we can discuss mortgage loan products, rate options and to assist you with your prequalification request. You agree that we may use automatic telephone dialing systems in connection with calls made to any telephone number you entered, even if the telephone number is assigned to a cellular telephone service or other service for which the called party is charged.