Prequalification Questionnaire

You must complete the entire form to submit.

  • 1. Personal Information
  • 2. Current Employment
  • 3. Household Income
  • 4. Assets & Liabilities
  • 5. Review & Submit

Please fill in the highlighted fields to continue.

Step 1: Personal Information Please tell us about yourself:



Will this be your primary residence?  

Yes   No
If less than 2 years, please provide former address below

Step 2: Current Employment

Borrower
Currently Own Real Estate? Yes No
   
Co-Borrower
Currently Own Real Estate? Yes No

Step 3: Household Income

 
Borrower
Please provide your income BY MONTH below:
    
Co-Borrower
Please provide your income BY MONTH below:


Step 4: Assets & Liabilities

List Checking, Savings, and Investments Accounts Below

List All Other Assets Below (Including vested interest in retirement, real estate, and other assets)

Liabilities



Step 5: Review & Submit

Please make sure you have reviewed all information.
You cannot make changes once you submit.

Sales Office: 601 E. Micheltorena, Unit #98, Santa Barbara, CA 93103 | 805.845.9277
© Copyright 2012, Villa Riviera Real Estate Company, Inc.
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