Loan Pre Qualification Full Name * Email Address * Phone Number * Address How much would you like to borrow? Do you prefer a fixed or adjustable rate? Fixed Adjustable Desired Term of Loan: 5 Years 15 Years 20 Years 30 Years Your Employment Satus: Employed Self Employed Retired Other Length of employment? Do you currently own or rent? Own Rent Your monthly income: Your monthly housing cost: Other monthly expenses and debts: Do you have a co-borrower? * Yes No Co-borrowers employment status: Employed Self Employed Retired Other Co-borrower length of employment?