Welcome to Rebecca Brown and Associates

Buyer Pre-Qualification Form

*=Required

The first and most important step in buying a home is getting pre-qualified for a home loan to determine how much you can afford to borrow. Please take a few moments and fill out as much information as possible on the form below to let us help you get started in your home buying process. All information you provide will be kept strictly confidential.

*Name

*Email Address

How much ($) would you like to borrow?	Do you have a co-borrower?	Desired term of loan:
$

Your employment status:	How long have you had your current position?

Co-borrowers employment status:	How long has the co-borrower had this position?

Do you currently own or rent your home?

Your monthly income:	Your monthly housing cost:	Other monthly expenses and debts:
$	$	$

Optional Contact Information

Phone Number (555-555-5555)

Address

City	State	Zip/Postal Code

Email Message

*Your name, phone number and email address are required. A confirmation email will be sent to you, so please be sure your email address is entered accurately.

By submitting this form with your telephone number you are consenting for Rebecca Brown & Associates Real Estate and authorized representative to contact you even if your name is on the Federal “Do-not-call List”.