theMoneyBrokers

Prequalification Application
NOTE: If you are using Netscape 3.0 or higher, or Internet Explorer 3.0 or Higher, the table (below) will be color coordinated. The Applicant should fill in all of the areas highlighted in YELLOW, and the Co-Applicant should fill in all of the areas highlighted in GREEN.

Please fill out as much or as little information as you wish. Name and Phone number a must. 

Please keep in mind, that the more facts we have to work with the faster we may be able to provide you a preapproval. 

Email Address
Applicant Name
Social Security #
Address
City/State/Zip
Home Phone
Applicant Work Phone
Co-Applicant Name
Social Security #
Co-Applicant Work Phone
Property Address
City/State/Zip
Purchase Date
Purchase Price

Employment Data

. APPLICANT
Employer #1
Occupation
Years On Job
Monthly Salary
Additional Monthly Income
. CO-APPLICANT
Employer #1
Occupation
Years On Job
Monthly Salary
Additional Monthly Income
.
LOAN INFORMATION
.
Loan Amount 
Requested
Purpose Of 
Loan
.
Balance On 
1st Mortgage
Lender For 
1st Mortgage
Monthly Payment 
1st Mortgage
.
Balance On 
2nd Mortgage
Lender For 
2nd Mortgage
Monthly Payment 
2nd Mortgage
.
PROPERTY DESCRIPTION
.
Rooms Please Input The Appropriate Information: 
Bedrms Bathrms 
Sq Ft Age  

Check only that which applies: 
Garage : 1 Car 2 Cars 3 Cars  

Check All That Apply:  
Living Rm: Dining Rm:  
Family Rm: 

Lot Description
Condition Of Property
Estimated Value
How Was Estimated Value Determined
.
All Debts Current? YES NO 
If No, 
Briefly Explain
Number Of Late Charges On Real Estate Debt in Last 12 Months?
Bankruptcy, Liens, etc.?
Convenient Hours For A Phone Call

Thank you for completing the on-line application. Please press the submit button below or print this page and fax the application to us at

FAX (916) 489-4444

mail it to:

 The Money Brokers, Inc. PO BOX 214507
SACRAMENTO, CALIFORNIA
95821-0507