APPLICATION FORM Welcome to our super easy online quick application. You're only minutes away from pre-qualifying for a new mortgage! If there are some questions you are not sure about this time, don't worry about it, just skip to the next one. All we ask is that you don't forget to enter your phone number and/or e-mail address so one of our mortgage consultants can get back to you as soon as possible.   PRE-QUAL        RATE ESTIMATE        BOTH PURCHASE - Mortgage Info. Are you looking to relocate? Choose Yes No Are you looking to sell your home? Choose Yes No Purchase Price or Price Range: Monthly Payment Range (approx.): Down Payment Range: REFINANCE - 2nd's & Home Improvement Home Value (approx.): Mortgage(s) Balance: Loan Amount Desired: How long have you owned your home? Income Information Borrower Gross Income (monthly): Co-Borrower Gross Income (monthly): Additional Income: Monthly Bills Car Payment(s): Credit Card(s) min. Monthly Payment(s): Other Loans Monthly Payment(s): Credit Rating: Choose Perfect Very Good Average Rough No Credit Don't Know Personal Information Borrower Name: Co-Borrower Name: Address: City: State: Choose AL AK AZ AR CA CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY AE AA AP Zip Code: Phone (day): () Ext. Phone (night): () Ext. E-mail Address: How did you hear about us? Would you like to be contacted by a friendly realtor in your area? Yes No Please leave any comments or instructions in the comments box. HOME | LOANS | REGISTER FOR RATE NOTIFIER | SPECIAL OFFERS | PRE-QUALIFY Copyright 2004. All Rights Reserved. MoneyLinkMortgage.com