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NORMortgage Prequalification Form
Please complete the following form and hit the Subit buttom at the bottom.
This form can be used for purchasing a home or refinancing your current mortgage.
How did you hear about us?:
-------- Please Select One -------
Referral
Newspaper Ad
Direct Mail
Internet
Loan Amount:
Type of Loan:
-------- Please Select One -------
Purchase
Refinance
Second Home
Income Property
Borrower:
CoBorrower:
SSN:
Date of Birth:
Email:
Current Street Address:
City:
State:
Zip Code:
Home Phone:
Work Phone and extension:
Purchase Price:
Estimated Value:
Cash Down Payment:
*Only for Purchase Apps
Property Address:
Property City:
Property State:
Property Zip:
Property Type:
-------- Please Select One -------
Single Family Detached
Townhouse
Condo
Aptartment
Multi Family
Will you occupy the property:
Yes
No
How would you rate your credit:
-------- Please Select One -------
Excellent
Good
Fair
Poor
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NORMortgage
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