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 Steve VanderMolen

Purchase:			Primary Residence:
Second Home:			Debt Consolidation:
Investment Property Retail:			Refinance:

What amount would you like to put as a down payment?
(Whole dollar amounts - no comma - no decimals)

Down Payment:

Down Payment Amount:

Please provide the following contact information:

Borrower Information

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Home Phone:

Work Phone:

Email:

Soc Sec Number:

Employer Name:

How Long Employed:

Gross Monthly Income:

Other Income:

Source of Other Income:

Co-Borrower Information

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Home Phone:

Work Phone:

Email:

Soc Sec Number:

Employer Name:

How Long Employed:

Gross Monthly Income:

Other Income:

Source of Other Income:

Please list any Monthly Revolving, Installments, and Other related Debts

Description	Monthly Payment	Balance

My credit is:

Excellent Good Fair Poor

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:

By completing this Pre-Qualification Form and submitting it to Landmark Mortgage Group, you are hereby giving Landmark Mortgage Group the authority to obtain a Free Credit Report on your behalf, to determine your mortgage qualification status. All information obtained will be held in strict confidentiality. >

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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