Reyna Homes

Pre-qualification Questionaire

Please answer the following questions as accurately as possible, this information will be used in pre-qualification for a mortgage loan. By omitting information the terms of the pre-approval will change. Also by signing this form, both applicants allow Reyna Homes LLC to obtain a credit report.

Borrower Information

Borrower full name

Social security number

Date of birth

Email address

Home Phone #

Alternate #

Marital status

# of dependents

Ages of dependents

Present address

City

State

Zip

If you currently own your home, what are your plans with it? Rent Sell

What amount do you currently pay for taxes And insurance

Borrower Employment Information

Current employer

Date hired

Job title

Employer phone

Monthly income amount

Paid by:

Salary Commission Hourly

Other income: (bonuses, dividends, benefits, child support)

Do you have any time of unemployment in past 2 years?

(If you have been with your current employment less than two years provide previous employment information)

Previous employer