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We can get loans approved in as little as one hour!

Please fill out this form and you will be contacted by one of our MORTGAGEWORKS loan experts. We are licensed to provide financing for homes in California only. For a printable version click here.

The details remain confidential and there is absolutely no obligation.
* = Information Required To Process

BORROWER NAME:*
BIRTHDATE:
PRESENT ADDRESS:*
CITY:*   STATE:*
ZIP:*    YRS. AT THIS ADDRESS:
PHONE #:
*
EMAIL:*
SOCIAL SECURITY#:*
MARITAL STATUS: # OF DEPENDENTS:
AGES:

CO-BORROWER NAME:
BIRTHDATE:
SOCIAL SECURITY #:
ADDRESS IF DIFFERENT:


BORROWER EMPLOYER:*
POSITION:
    #YEARS:
MONTHLY GROSS INCOME:
*

PHONE:
*

CO-BORROWER EMPLOYER:
POSITION:
    #YEARS:
MONTHLY GROSS INCOME:
 
PHONE:


CHECKING/SAVINGS BALANCES:
STOCK/MUTUAL FUND BALANCES:
401K/IRA BALANCES:
DESIRED DOWN PAYMENT OR %
CURRENT PAYMENT: MORTGAGE or RENT:
PROPERTY TAXES:
HOA FEES:
INSURANCE:
1ST LENDER NAME:

LOAN #:

2ND LENDER NAME: 

LOAN #:

ESTIMATED CURRENT VALUE:

TO BE SOLD:

NOTES or QUESTIONS:

By submitting this Quick-Qualifier Application the applicants certify that the above information is true and correct to the best of their knowledge. Applicants hereby expressly grant permission to MORTGAGEWORKS to verify the applicants credit and employment history and that a copy of this application may be used in lieu of original signatures.