Real Estate

Team Aldrich
(877) 644-SELL (7355)

Let Us Help You
We do not ask for social security numbers or any additional private information. All information is kept confidential. For the most accurate pre-qualification, please fill this form out as completely and accurately as possible.
*Required Fields

Monthly Income:
Income Type	Co-Borrower	Borrower
Monthly Take Home Pay	$	$
Unemployment Income	$	$
Child Support/Alimony	$	$
Disability Income	$	$
Any Other Income Sources	$	$
$ Total Income	$	$

Monthly Expenses (All Borrowers):
Home Mortgage (Principal, Interest, taxes, insurance: PITI Payment)	$
Other Mortgages/Liens/Rents	$
Auto Loan(s)	$
Auto Expenses/Insurance	$
Credit Cards (min. payments)/Installment Loans	$
Health Insurance	$
Child Care/Support/Alimony	$
Food/Spending Money	$
Utilities/Phone(s)/Water/Sewer	$
Other	$
$ Total Monthly Expenses	$

Assets & Liabilities (All Borrowers):
	Estimated Value	Amount Owed
Automobile 1	$	$
Automobile 2	$	$
Savings/Money Market	$	$
Stocks/Bonds/CDs	$	$
IRA(s)/ESOP Accounts	$	$
Home	$	$
Other Real Estate	$	$
Other	$	$
Balance of Checking Account(s)	$

Mortgage Vs. Home Value
Balance of First Mortgage	Balance of Second Mortgage	Other
$	$	$
Estimate the Value of Your home $
You can email or call us to get true market value of your property.

Cause of Possible Hardship:
Choose the Most Applicable:
Explanation of Hardship Cause: (This will help us determine if you are eligible- but it is optional)