NMLS #171699

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Patriot Home Funding, Inc

Please fill out our Pre-Qualification form below.
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Purchase or Refinance
How is the property currently used?
Borrower Information

We will gather some basic information about you and your mortgage needs to help find you the best available options there are.


Contact information
Current Address
Living Details
Birth Date
Social Security Number
Monthly Income

Now lets answer some questions about income.
Notice: Alimony, Child Support or Separate Maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for repaying this loan.


Do you have any additional income?
Additional Income
Employment Section
Employed

Please add your employment information below.


Self Employed
Assets
Additional Real Estate Owned
Additional Real Estate Owned
Additional Details (Marital Status)
Do you pay child support or alimony?
How Much Per Month $
Are You a Veteran?
How Many Dependents?
First Time Home Buyer?
Co-Borrower

Are you applying with a co-borrower?

No
Are you married to the Co-borrower?
Co-borrower Detail
Co-borrower Detail
Co-borrower address the same as borrower?
Co-borrower Address
Birth Date
Living Details
Social Security Number
Monthly Income

Now lets answer some questions about income.
Notice: Alimony, Child Support or Separate Maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for repaying this loan.

Do you have any additional income?
Additional Income
Employment Section
Employed
Self Employed
Assets
Additional Real Estate Owned
Additional Real Estate Owned
Additional Details (Marital Status)
Do you pay child support or alimony?
How Much Per Month $
Are You a Veteran?
Yes
No
How did you hear about us?
Authorization
I agree to PreApp LLC Terms of Service and Privacy Policy. I also agree to Patriot Home Funding, Inc eDisclosure and eSignature Credit Authorization agreements. I authorize by my Electronic Signature below, for Patriot Home Funding, Inc to obtain a credit report.

Patriot Home Funding, Inc
MLO - Lynne Rohde
NMLS #263475
PreApp 1003
982 Douglas Avenue Suite 100
Altamonte Springs, Florida 32714
Cell Phone: 407-310-0372
Fax: 407-650-2921
www.TeamRohde.com
Email: lynne.rohde@myphf.com


PreApp 1003