Orion Mortgage Corporation

Pre-Qualification Application
Loan Officer:
Borrower Information
First Name:		Last Name:
SSN:		Birth Date:
Home Phone:		Work Phone:
Marital Status:		Present Addr:
Street:
City:		State:
Zip:		Years at Addr:
Self-employed:
Credit History:		Email Addr:
Issues:
Co-Borrower Information
First Name:		Last Name:
SSN:		Birth Date:
Home Phone:		Work Phone:
Marital Status:		Present Addr:
Street:
City:		State:
Zip:		Years at Addr:
Self-employed:
Credit History:		Email Addr:
Issues:
Loan Information
Loan Purpose:		Property Type:
Loan Type:		Down Payment:
Sales Price:	$	Amt Requested:	$
Comments:
Financial Information
Monthly Inc:	Borrower	Co-Borrower	Total
Base Income:	$	$	$
Overtime:	$	$	$
Bonuses:	$	$	$
Commissions:	$	$	$
Other:	$	$	$
Total:	$	$	$

Monthly Exp:
Rent Payments:		$
Mortgage Payments:		$
Automobiles:		$
Other: (Credit Cards)		$
Other:		$
Total:		$
Acknowledgement
	By checking this box, Borrower and Co-Borrower acknowledge the lender's right to use this information to pre-qualify them for the type of loan stated above and authorize the lender to secure their credit report(s).
	Tell us how you preferred to be contacted and when you would like a response.

	Tell a Friend ...

If you have a friend who is looking for a mortgage loan or to refinance their existing loan, please tell them about us!

Tell A Friend!

	Our Promise...

To find for you the right loan to meet your financing needs and providing the best service in the industry; the type of service you would want to refer to your friends and loved ones.