Bay Mortgage - Secure Online Pre-Qualification Form
Contact Information
(required information fields are marked with an asterisk *)
First Name*
M.I.
Last Name*
Street*
City*
State*
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip*
Home Phone*
-
-
Business Phone
-
-
x
Mobile / Pager / Alternate
-
-
Fax
-
-
Date of Birth (mm / dd / yyyy)
-
-
Email Address*
Contact me at:
Select One
Home
Work
Best Time to Call
Select One
Morning
Afternoon
Evening
Referred by
Loan Information
Purpose
Select One
purchase
refinance
Type
Select One
fixed
ARM
Property Type
Select One
Primary Residence
Second Home/Vacation Home
Investment Property
Will there be a co-borrower on this loan?
No co-borrower
Spouse
Other
Purchase Price
$
Amt Avail for Down Payment or Closing Costs
$
Personal Information
Total Gross Yearly Income (Income Before Taxes)
$
Total Monthy Debt Payments (Including Alimony & Child Support)
$
Current Employer
Number of Years
Social Security Number
-
-
Do you authorize us to pull your credit report in order to pre-qualify
you for a loan? (If so Please be sure to provide your social security number).
Yes
No
Rate your credit
If you know your credit score, please enter it here
Excellent
Good
Fair
Poor
Comments
© Bay Mortgage 2006 • 810 Cottageview Drive, Suite G30 Traverse City, MI 49684 • 877-901-9400