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									Freedom Financial Consultants                                                                                                             (o)330-853-6561
                                                                                                                                           (f)330-482-5458




                         Fax or E-mail Completed Form: 1-330-482-5458 or ShellyLogan@aol.com
                                 PRE-QUAL SUBMISSION SHEET (BORROWER)
Broker: Freedom Financial Consultants                         Phone: 330-853-6561
                    Credit Card Info: $200 Application Fee (legal research fee)
First Name                                 MI               Last Name                     Credit Card Number                 Exp. Date


Billing Address                                                            City                  State             Zip   3-4 Digit Code


                                                  BORROWER'S INFORMATION
First Name                                 MI               Last Name                         SS Number                  Date of Birth


Property Address                                                           City                  State             Zip        Years


Home Phone                                                        Cell Phone                                 Email Address


Mailing Address (if different)                                             City                           State                 Zip


                                                            Employment
Present Employer Name                                                                                                         Years


Employer's Address                                                         City                           State                 Zip


Present Position                                                                                              Work Phone


                                                                                                             YES         NO
          Owner Occupied                Can BORROWER provide W2's and Paystubs?
          2nd Home                      Can BORROWER verify no gaps in employment longer than 30 days?
          Investment                    Are you in an Adjustable Rate Mortgage?

If so what ARM program is it?                                                     When will it adjust?
Have you ever been late on your mortgage in the last 12 months?                               How many months?
Are you currently behind on your payments?                                                    How many months?
Has the Notice of Default been filed?                                                         When?
Do you have a Foreclosure Sale date?                                                          When?
Do you have a Credit Score of at least 620?                                                   Approx.
Is Property Currently Listed for Sale                                                         Date:
Who are your current lenders?                                  Account Number     Term(Mo)               Balance               Rate
          1st:



                                                                                                                                           Page 1 of 9
Freedom Financial Consultants                                                                                                        (o)330-853-6561
                                                                                                                                      (f)330-482-5458

          2nd:
          3rd:
    Your signature on this document gives Steltmen Wholesale or assignees the authority to obtain a credit report and to release
 information to Mortgage Lender/Broker involved in the handling of your mortgage application. I further understand the application
       fee is a credit report and legal research fee. I understand this fee does not guarantee a loan approval or loan funding.
                                    I understand this fee is non-refundable under any circumstances.

                                ALL APPLICANT'S INFORMATION IS KEPT CONFIDENTIAL AND SECURE

BORROWER'S SIGNATURE                                                                       DATE




                                                                                                                                      Page 2 of 9
Freedom Financial Consultants                                                                                                          (o)330-853-6561
                                                                                                                                        (f)330-482-5458

                                PRE-QUAL SUBMISSION SHEET (CO-BORROWER)
                                                BORROWER'S INFORMATION
First Name                              MI                 Last Name                         SS Number                 Date of Birth


Mailing Address (if different from Property)                              City                  State            Zip        Years


Home Telephone                                                   Cell Phone                                Email Address


                                                          Employment
Present Employer Name                                                                                                       Years


Employer's Address                                                        City                          State                Zip


Present Position                                                                                            Work Phone


                                                                                                           YES         NO

          Owner Occupied             Can CO-BORROWER provide W2's and Paystubs?

          2nd Home                   Can CO-BORROWER verify no gaps in employment longer than 30 days?

          Investment                 Does CO-BORROWER have a Credit Score of at least 620?


     Your signature on this document gives Steltmen Wholesale or assignees the authority to obtain a credit report and to release
                    information to Mortgage Lender/Broker involved in the handling of your mortgage application.
                                ALL APPLICANT'S INFORMATION IS KEPT CONFIDENTIAL AND SECURE

CO-BORROWER'S SIGNATURE                                                                      DATE




                                                                                                                                        Page 3 of 9
Freedom Financial Consultants                                                                   (o)330-853-6561
                                                                                                 (f)330-482-5458

                                    Income / Expense Worksheet
                                               Assets
                      Description            VALUE                 LESS LIENS       TOTAL
Checking Account                                                                        $0.00
Savings Account                                                                         $0.00
Cash                                                                                    $0.00
Certificates of Deposit (CD's)                                                          $0.00
Stocks                                                                                  $0.00
Bonds                                                                                   $0.00
Mutual Funds                                                                            $0.00
Retirement Accounts                                                                     $0.00
Education Savings                                                                       $0.00
Primary Home                                                                            $0.00
Rental Property                                                                         $0.00
Rental Property                                                                         $0.00
Rental Property                                                                         $0.00
Rental Property                                                                         $0.00
Automobile                                                                              $0.00
Automobile                                                                              $0.00
Automobile                                                                              $0.00
                                         Total Net Value Assets:                $0.00
                                           Monthly Income
                      Description          BORROWER           CO-BORROWER           TOTAL
Gross Income                                                                            $0.00
Overtime                                                                                $0.00
Commissions                                                                             $0.00
Bonuses (Monthly)                                                                       $0.00
Rental Income                                                                           $0.00
Child Support                                                                           $0.00
Alimony                                                                                 $0.00
Social Security                                                                         $0.00
Retirement                                                                              $0.00
Disability                                                                              $0.00
Unemployment                                                                            $0.00
Public Assistance                                                                       $0.00
   Less Federal Taxes                                                                   $0.00
   Less State Taxes                                                                     $0.00
   Less Misc. Taxes                                                                     $0.00
   Less Medical                                                                         $0.00
   Less Retirement Contributions                                                        $0.00
   Less Misc. Payroll Deductions                                                        $0.00
        TOTAL NET MONTHLY INCOME:            $0.00                  $0.00           $0.00




                                                                                                 Page 4 of 9
Freedom Financial Consultants                                                                                (o)330-853-6561
                                                                                                              (f)330-482-5458

                                       Monthly Expenses Paid From Net Income
                  Please Do Not Add Any Expenses That Are Already Automatically Deducted Above
               Description of Expense              Monthly Payment        Balance Due            Term Left
1st Mortgage - Primary
2nd Mortgage - Primary
Property Taxes
Homeowner's Insurance
HOA Dues
Mortgage Insurance
Rental #1 - First Mortgage
Rental #1 - Second Mortgage
Rental #1 - Property Taxes
Rental #1 - Homeowner's Ins.
Rental #1 - HOA Dues
Rental #1 - Mortgage Insurance
Rental #1 - Utilities/Maint.
Rental #2 - First Mortgage
Rental #2 - Second Mortgage
Rental #2 - Property Taxes
Rental #2 - Homeowner's Ins.
Rental #2 - HOA Dues
Rental #2 - Mortgage Insurance
Rental #2 - Utilities/Maint.
Rental #3 - First Mortgage
Rental #3 - Second Mortgage
Rental #3 - Property Taxes
Rental #3 - Homeowner's Ins.
Rental #3 - HOA Dues
Rental #3 - Mortgage Insurance
Rental #3 - Utilities/Maint.
Rental #4 - First Mortgage
Rental #4 - Second Mortgage
Rental #4 - Property Taxes
Rental #4 - Homeowner's Ins.
Rental #4 - HOA Dues
Rental #4 - Mortgage Insurance
Rental #4 - Utilities/Maint.
Auto Loan #1                    Rate
Auto Loan #2                    Rate
Auto Loan #3                    Rate
Auto Insurance (All Vehicles)
Auto Maintenance (All Vehicles)
Auto Gas/Parking (All Vehicles)
Student Loans:
Other Loans:
Other Loans:
Other Loans:



                                                                                                              Page 5 of 9
Freedom Financial Consultants          (o)330-853-6561
                                        (f)330-482-5458

Credit Card:                    Rate
Credit Card:                    Rate
Credit Card:                    Rate
Credit Card:                    Rate
Credit Card:                    Rate
Credit Card:                    Rate
Credit Card:                    Rate




                                        Page 6 of 9
Freedom Financial Consultants                               (o)330-853-6561
                                                             (f)330-482-5458


Utilities
   Electric
   Gas
   Water
   Trash
   Gardner/Pool/Pest/Maintenance/etc.
   Cable/Internet/Phone
   Cell
   Other
   Other
Medical/Dental Insurance
Additional Life/Disability Insurance
Un-Reimbursed Medical
Groceries/Food/Toiletries
Child Care
School Tuition
Clothing
Dry Cleaning
Lunches/Work/Coffee
Dining Out
Tabacco / Alcohol
Personal Grooming
Children Activities
Health Club Dues
Child Support
Alimony
Hobby Costs
Movies/Shows/Concerts
Other Entertainment
Fall/Winter Vacation Costs (Monthly)
Spring/Summer Vacation Costs (Monthly)
Birthday Gifts (Calculated Monthly)
Holiday Gifts (Calculated Monthly)
Donations to Church / Religion / Charity
Addtl. Deposits to Retirement Funds
Deposits into College Funds
Deposits into Savings / Other Investments
                   TOTALS:                  $0.00   $0.00




                                                             Page 7 of 9
Freedom Financial Consultants                                                                                                      (o)330-853-6561
                                                                                                                                    (f)330-482-5458

                                Net Cash Flow:                 $0.00
                                                 Monthly Expenses (cont.)
Damage or Deferred Maintenance
Item:                                                        Estimated Cost to Repair:
Item:                                                        Estimated Cost to Repair:
Item:                                                        Estimated Cost to Repair:
Any Cracks in Foundation?
Any Ceiling/Roof leaks?
Out dated Kitchen or Bath?
Year Purchased
Original Purchase Price
Loan #1 Type                                                                       Term (Mo):               Intest Only?

Loan #2 Type                                                                       Term (Mo):               Intest Only?

Loan Modification or Short Refi?                                                                 Loan Mod   Short Refi




BORROWER'S SIGNATURE                                                                            DATE



CO-BORROWER'S SIGNATURE                                                                         DATE             YES          NO

                Please use the space below to explain your current financial situation. Why do you require Loss Mitigation?




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Freedom Financial Consultants   (o)330-853-6561
                                 (f)330-482-5458




                                 Page 9 of 9

								
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