Phone: (800) 847-0071
Fax: (440) 933-7770
Email: mortgageloan@hotmail.com

Page one | Pre-Qualify

To Contact Gary Siwik @ :

Pre-Qualify

Address:

Phone:

E-mail:

State/Prov:

City:

Zip/Post. code:

Country:

Type of property

Loan Analysis

Please take a moment to answer the following questions. Then, simply submit. You may also e-mail or call me for a confidential, loan analysis.

Multi-Family (2-4 Unit)

Single Family

Mixed Use or Commercial

Purpose of loan

Re-Finance (lower rate, term and / or cash out

Purchase

Second mortgage or equity line or equity loan

Any credit problems in the past 2 years?

Yes

No

Length of employment

(same employer or same field  with no gaps

Over 2 years

Less than 2 years

Approximate value of the property

Total amount of liens on property

Total monthly payments

(including credit cards, auto leases and / or payments

Total gross monthly income

Comments: