Landmark Mortgage of South Bend

This confidential Pre-Qualification Form is designed to assist Landmark Mortgage Group in determining what type of mortgage program will best fit your current financial needs. We will contact you to present our mortgage financing options to you. Thank you for your interest in Landmark Mortgage Group.

If you'd prefer to simply email us, click here

Please check all answers that apply.

(Use the "tab" key to advance through the form)

When completed, click "Submit" to send form to Pam Ender

Purchase		Primary Residence
Second Home		Debt Consolidation
Investment Property Retail		Refinance
What amount would you like to put down as a down payment? (whole dollar amounts - no comma - no decimals)
Down Payment Yes No		Down Payment Amount
Please provide the following contact information: Borrower Information
First Name *
Last Name *
Address1
Address2
City
State
Zip
Phone *
Work Phone
Email *
Social Sec#
Employer Name
How Long Employed
Gross Monthly Income
Other Income
Source of Other
Co-Borrower Information
First Name *
Last Name *
Address1
Address2
City
State
Zip
Phone *
Work Phone
E-mail Address: *
Social Sec#
Employer Name
How Long Employed
Gross Monthly Income
Other Income
Source of Other
Please list any monthly revolving, installments, and other related debts
Description
Payment
Balance

Description
Payment
Balance

Description
Balance
Payment
My Credit is:	Excellent Credit Good Credit Fair Credit Poor Credit
Please explain any unique situations or circumstances as related to this Mortgage Loan inquiry that would help us in determining the best mortgage loan to fit your financial needs.
Comments


* Required

Landmark Mortgage Group
800 E. Jefferson | South Bend, IN
ph: (574) 233-7767 or (888) 355-6200
email: loans@landmarkmortgagegroup.com?subject=WebsiteEmail

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