United Lending Prequalification Worksheet

In order to simplify the prequalification process, please fill out the following. We will respond within 24 hours regarding your ability to qualify for a mortgage. This
prequalification will be based on the information supplied, as well as a preliminary credit report.

Borrower Information: Referred By: ___________________________________________

Borrower: ____________________________________________ Co-Borrower: __________________________________________

SS#: _______________________ DOB: ____________________ SS#: _______________________ DOB: ______________________

Address: _____________________________________________ Address: ______________________________________________

City: ______________________ State: ______ Zip: __________ City: _____________________ State: ________ Zip: __________

Home Phone: _________________________________________ Home Phone: __________________________________________

Other Phone: _________________________________________ Other Phone: __________________________________________

Employer/ Self Employed: _______________________________ Employer/ Self Employed: ________________________________

Years on Current Job: ___________________________________ Years on Current Job: _____________________________

Current Mortgage/Rent Payment: ______________________ Current Mortgage/Rent Payment: ______________________

Monthly Income: Monthly Expenses:

Borrower Co-borrower Borrower Co-borrower

Gross Income: ________________ ________________ Car Payment: ________________ ________________

Commission(2yr Avg): ________________ ________________ Car Payment: ________________ ________________

Bonuses (2yr Avg): ________________ ________________ Credit Cards: ________________ ________________

Alimony/ Child Support: ________________ ________________ Loans: ________________ ________________

Rental Income: ________________ ________________ Other Expenses: ________________ ________________

Total monthly Income: ________________ ________________ Total monthly Expenses: ________________ ________________

Cash Available for Closing:

Checking: _____________________________ Stocks/Bonds: ____________________________ Gift Funds: _____________________________

Savings: ______________________________ Sale of Real Estate: ________________________ Other: _________________________________

Your New Home: Realtor: ____________________ Phone: _______________________

Desired Sales Price: _____________________________________ Owner Occupied or Investment? ____________________________

Desired Monthly Payment: _______________________________ Are you a relocation borrower? ______________________________

Approximate Down Payment: _____________________________ Any credit issues to consider? ______________________________

Are you a Veteran? _________ Are you a US citizen? __________ __________________________________________________________

I (we) hereby authorize United Lending to order a consumer credit report. I (we) understand that a copy of this form will also serve as authorization.

Borrower’s Signature Date Co-borrower’s Signature Date

Nick Flanagan, Loan Officer/ 8303 N Mopac, Suite A-201, Austin, TX 78759/ direct: (512)592-5434 Cell: (512)796-8807 Fax: (512)410-3020
nick.flanagan@unitedlendingusa.com