Yes, I want to be Pre-Qualified and Pre-Approved!
Here is the pertinent and confidential information.

*Information is completely confidential and cannot be sold or
disseminated for marketing purposes, because of the Privacy Act Law

* Last Name:
* First Name: Spouse's First Name:
* Home Phone:
* Work Phone: Spouse's Work Phone:
* Email address:
Are you receiving W-2 income?:   Yes     No 
               Are you self employed?:   Yes      No   
                Spouse self-employed?:   Yes      No 
Gross yearly W-2 income: Spouse's:
Gross yearly 
self-employed income:		 Spouse's:
Liquid savings:
Stocks, bonds, mutual funds that can be used for down payment?:   
Is there gift money from a family member?:   No     Yes     
                         If Yes, How much gift money?  
Are there any credit problems from the past?: Yes  No   
Brief explanation:
Monthly car payment:
Monthly minimum payment from all credit cards:  
  Other monthly debts 
or obligations 
(child support, alimony, 
student loans):
 
Roger E. Taylor, Senior Mortgage Broker, Rancho Financial
16456 Bernardo Center Dr., 201, San Diego, California 92128