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Pre-Qualification Request Form
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Pre-Qualification: Verification of all financial ratios without FICO credit verification
*Priority Pre-Qualification: Verification of all financial ratios and credit history
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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Home Number
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Cell Number
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Work Number
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7
Email
example@example.com
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8
Occupancy Type
Primary
Investment
Second Home
Primary
Investment
Second Home
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9
Estimated Sales Price
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10
Down Payment
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11
Loan Amount
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12
Annual Property Taxes for Prospective Home
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13
Mortgage Loan Originator
*
This field is required.
Alka Dharia NMLS 22730
Berny Mullappally NMLS 1976768
Bhavesh Shah NMLS 980811
Candace MacIntyre NMLS 2040515
Daniel Dai NMLS 1728814
Daniel Monk NMLS 2103042
Derrek Thomas NMLS 1482791
Dhiren Patel NMLS 234202
Dikesh Patel NMLS 395277
Dylan Harlacker NMLS 1556238
Hansal Patel NMLS 1637071
Hemal Mehta NMLS 1972058
Hemalatha Selvarajan NMLS 1576677
Jason Doshi NMLS 234113
Jeff Martin NMLS 113927
Jerry Heater NMLS 2028064
John Gugle NMLS 2091444
Joseph Borrelli NMLS 1758345
Joseph Cherian NMLS 1420671
Kathryn Ruland NMLS 2088454
Kevin McGee NMLS 1441739
Koteswara Boppana NMLS 2031283
Lee Raykovicz NMLS 2010696
Manibhai Patel NMLS 234211
Manish (Vick) Bedi NMLS 256379
Manoj Patel NMLS 1435946
Mark Rudy NMLS 926520
Mayur Leuva NMLS 234099
Michael T Adams NMLS 867588
Nicholaus Heater NMLS 2042732
Nilesh Desai NMLS 23440
Pranav Pandya NMLS 471603
Rajiv Bedi NMLS 285881
Rama Nimma NMLS 2018776
Ramesh Nagarajan NMLS 2017892
Rohit Tandon NMLS 1241890
Samip Joshi NMLS 894162
Samir Dedhia NMLS 22713
Sindhu Jacob Thomas NMLS 217806
William Thomas Nichols NMLS 2003526
Yolanda Bryan-Adams NMLS 1970712
I am currently not working with a Loan Originator
Alka Dharia NMLS 22730
Berny Mullappally NMLS 1976768
Bhavesh Shah NMLS 980811
Candace MacIntyre NMLS 2040515
Daniel Dai NMLS 1728814
Daniel Monk NMLS 2103042
Derrek Thomas NMLS 1482791
Dhiren Patel NMLS 234202
Dikesh Patel NMLS 395277
Dylan Harlacker NMLS 1556238
Hansal Patel NMLS 1637071
Hemal Mehta NMLS 1972058
Hemalatha Selvarajan NMLS 1576677
Jason Doshi NMLS 234113
Jeff Martin NMLS 113927
Jerry Heater NMLS 2028064
John Gugle NMLS 2091444
Joseph Borrelli NMLS 1758345
Joseph Cherian NMLS 1420671
Kathryn Ruland NMLS 2088454
Kevin McGee NMLS 1441739
Koteswara Boppana NMLS 2031283
Lee Raykovicz NMLS 2010696
Manibhai Patel NMLS 234211
Manish (Vick) Bedi NMLS 256379
Manoj Patel NMLS 1435946
Mark Rudy NMLS 926520
Mayur Leuva NMLS 234099
Michael T Adams NMLS 867588
Nicholaus Heater NMLS 2042732
Nilesh Desai NMLS 23440
Pranav Pandya NMLS 471603
Rajiv Bedi NMLS 285881
Rama Nimma NMLS 2018776
Ramesh Nagarajan NMLS 2017892
Rohit Tandon NMLS 1241890
Samip Joshi NMLS 894162
Samir Dedhia NMLS 22713
Sindhu Jacob Thomas NMLS 217806
William Thomas Nichols NMLS 2003526
Yolanda Bryan-Adams NMLS 1970712
I am currently not working with a Loan Originator
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14
Alka's E-mail Address
Loan Originator's email address for your reference.
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Berny's E-mail Address
Loan Originator's email address for your reference.
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Bhavesh's E-mail Address
Loan Originator's email address for your reference.
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Candace's E-mail Address
Loan Originator's email address for your reference.
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Charles' E-mail Address
Loan Originator's email address for your reference.
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19
Daniel Dai's E-mail Address
Loan Originator's email address for your reference.
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Daniel Monk's E-mail Address
Loan Originator's email address for your reference.
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21
Derrek's E-mail Address
Loan Originator's email address for your reference.
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22
Dhiren's E-mail Address
Loan Originator's email address for your reference.
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Dikesh's E-mail Address
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Dylan's E-mail Address
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Hansal's E-mail Address
Loan Originator's email address for your reference.
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Hema's E-mail Address
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Hemal's E-mail Address
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Jason's E-mail Address
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Jeff's E-mail Address
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Jerry's E-mail Address
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John's E-mail Address
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32
Joseph's E-mail Address
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33
Joseph Borrelli's E-mail Address
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34
Kathryn's E-mail Address
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Kevin's E-mail Address
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36
Koteswara's E-mail Address
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Lee's E-mail Address
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Manibhai's E-mail Address
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Manoj's E-mail Address
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Mark's E-mail Address
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Mayur's E-mail Address
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Michael Adam's E-mail Address
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Nilesh's E-mail Address
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Nicholaus's E-mail Address
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Pranav's E-mail Address
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Rajiv's E-mail Address
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Rama's E-mail Address
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48
Ramesh's E-mail Address
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49
Rohit Tandon's E-mail Address
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50
Samip's E-mail Address
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51
Samar's E-mail Address
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52
Samir's E-mail Address
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Sindhu's E-mail Address
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54
Steve's E-mail Address
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55
Vick (Manish)'s E-mail Address
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William Thomas' E-mail Address
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57
Yolanda's E-mail Address
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58
W2
LAST 2 YEARS
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Pay Stubs
LAST 2 MONTHS SHOWING 30 DAYS INCOME
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Bank Statements (ALL PAGES)
LAST 2 MONTHS ALL PAGES
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Mortgage Statements
MOST RECENT
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62
How did you hear about LemonBrew Lending?
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Family/Friend
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Real Estate Agent
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Family/Friend
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63
Please check to authorize:
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I authorize LemonBrew Lending to pull my credit history and issue a Priority Pre-Qualification.
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64
Please check to authorize:
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I authorize LemomBrew Lending to review my financial documents and issue a Pre-Qualification Letter.
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