Precise Mortgage Lending REQUEST FOR PRE-QUALIFICATION  Current Loan Officer: If you are currently working with a LOAN OFFICER, Please select name below. Not working with a Loan Officer Leti Garcia Melissa Guerra Billy Balou Mary Margeret Ruiz Nancy Lackey Helen Bennett Melanie Sills  Occupency Type: Primary ResidenceSecondary HomeInvestment  Property Type: SFRCondoTownhomeModularManu/Home (D/W or S/W)  Purpose: PurchaseConst-PermRate/Term RefiCash-Out Refi * REQUIRED FIELDS * BORROWER CO-BORROWER * E-Mail E-Mail * Social Security # (numeric only) Social Security # (numbers only) * Birthday MONTH January February March April May June July August September October November December / DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YEAR 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Birthday MONTH January February March April May June July August September October November December /  DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / YEAR 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 * Address Address * City State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA 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 VI VA WA WV WI WY ZIP City State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA 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 VI VA WA WV WI WY ZIP * Home Phone Cell Phone Home Phone Cell Phone Work Phone Fax Number Work Phone Fax Number * Employer 1 Employer 1 Position Position * IF EMPLOYED LESS THAN TWO YEARS * Employer 2 *Employer 2 Position Phone Position Phone * CURRENT MONTHLY RENT/MORTGAGE PAYMENT $ * Gross Income (Monthly) $ Gross Income (Monthly) $ Other Income (Monthly) $ Other Income (Monthly) $ (Describe Below) (Describe below) Refinance Info: Current Balance $   Interest Rate %  Payment $ Loan Type: ConventionalFHAVATX Vet Taxes & Ins. Included Mobile Home Info: Year   Make   Model D-wideS-wide Size Width & Length x     Permanantly Affixed? YesNo BORROWER AUTHORIZATION I HEREBY AUTHORIZE PRECISE MORTGAGE LENDING TO OBTAIN A FREE IN-FILE CREDIT REPORT FOR THE PURPOSE OF PRE-QUALIFYING FOR A MORTGAGE LOAN.  I ALSO AUTHORIZE PRECISE MORTGAGE LENDING TO CONTACT ME WITH ANY QUESTIONS THEY MAY HAVE IN REVIEWING MY CREDIT REPORT. I AgreeI Disagree * BORROWER Click here to Digitally Sign this form. CO-BORROWER Click here to Digitally Sign this form. REFERRED BY INFORMATION Name: Company: Phone     Cell     Fax Precise Mortgage Lending 2101 Lockhill-Selma, Suite 204 San Antonio, Texas 78213 Phone 210.344.0567 Fax 210.344.0599