The Mortgage Specialist Since 1983 Residential & Commercial Mortgages         Welcome to our Secure Online Mortgage Pre-Qualification Form. Our application is designed to make the loan application process as simple as possible. Please complete all fields accurately to ensure we can best determine your qualifications. Once you fill out the application and click the submit button, we will begin processing your request. We will do our best to contact you within one business day.       Loan Information Loan Amount Purpose of Loan Select Option Lower Interest Rate Cash Out Change Term Debt Consolidation Home Improvement Home Equity Loan Purchase Down Payment (if purchase) Application Information First Name Last Name Social Security Number Date of Birth Street Address Address (cont) City State ** AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Home Phone Applicant Email Employer Information Employer Position Work Phone Years There Income Previous Job (if less than 2 years) Other Income Co-Applicant Information First Name Last Name Social Security Number Date of Birth Street Address Address (cont) City State ** AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Home Phone Co-Applicant Employer Information Employer Position Work Phone Years There Income Previous Job (if less than 2 years) Other Income Property Information Address of Property Being Mortgaged Type of Property Select Option Single Family Residence 2-4 Family Residence Condominium Co-op Townhouse Mobile Home Mixed Use Commercial Other Type of Property What is the latest you have been on your mortgage in the past 12 months? not applicable 0 days late 30 days late 60 days late 90 days late 120 days late If you currently rent, would you be able to provide 12 months canceled rent checks? not applicable Yes No Purchase price $ Property taxes $ Present market value $ 1st Mortgage Balance $ Monthly Payment $ Interest Rate 1st Mortgage Holder 2nd Mortgage Balance $ Monthly Payment $ Interest Rate 2nd Mortgage Holder Miscellaneous Information Credit Rating Select Option Excellent Good Bad Please tell us anything you think will be of assistance. I/We hereby authorize Royal Consultants to obtain a Consumer Credit Report in connection with my mortgage loan request.   Copyright ©2009 L.R. Royal, Inc. All Rights Reserved. Website designed and maintained by Hi-Design Concepts