Let North Florida Funding, Inc. help you obtain the best mortgage rates and terms for your next purchase or refinance. A representative will get back to you as quickly as possible with your results!
Borrower Name
Borrower Social Security Number
Borrower Date of Birth
Co-Borrower Name
Co-Borrower Social Security Number
Co-Borrower Date of Birth
Home Phone
Cell Phone
E-mail Address
TYPE OF LOAN
Loan Type	New Purchase Refinance 2nd Mortgage
Length of Mortgage	5 Year 10 Year 15 Year 20 Year 30 Year
Interest Type	Fixed Rate Adjustable
PROPERTY INFORMATION
Current Address	Street: City: State:    Zip:
Length of Residency (Own vs Rent)
Subject Property Address	Street: City: State:    Zip:
Purchase Price/Date
Current Value
Estimated Yearly Homeowner's Insurance Premium $
BANK ACCOUNT INFORMATION
Approximate Checking Balance
Approximate Savings Balance
Approximate Retirement Balance
EMPLOYMENT HISTORY
Borrower Employer
Length of Employment
Position
Monthly/Hourly Income
Co-Borrower Employer
Co-Borrower Length of Employment
Co-Borrower Position
Co-Borrower Monthly/Hourly Income
Down Payment Available?	None 5% 10% 20% More
Filed Bankruptcy in last 7 years?	Yes No
By checking "Yes" here you authorize North Florida Funding, Inc. to run your credit to get you pre-qualified for your loan. There is no fee for this service.	Yes No
Preferred Method of Contact	Email Home Phone Cell Phone