480-939-3009 info@kdafinance.net

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Co-borrower application

Pre-qual form for borrowers

Borrower Full name, including suffix
Phone
Email
Birth Date
Social Security Number
Marital Status
- Married
- Single
- Separated
Residence History
Current Address*
Street Address Address Line 2 City State ZIP Code
How long have you lived at your current residence?
- Less Than 2 Years
- More Than 2 Years
If Less than 2 years, how long have you been at your current address?
Other Addresses
Street Address Address Line 2 City State ZIP Code

We need two years of residence history, if you have less than 2 at the current address, please enter additional addresses as needed to show your housing history.
How long were you at this address?
Enter More Addresses?
- Yes
- No
Do you need to enter more addresses to get to two years of history?
Other Addresses
Street Address Address Line 2 City State ZIP Code

We need two years of residence history, if you have less than 2 at the current address, please enter additional addresses as needed to show your housing history.
How long were you at this address?
Enter Additional Addresses?
- Yes
- No
Do you need to enter more addresses to get to two years of history?
Other Addresses
Street Address Address Line 2 City State ZIP Code

We need two years of residence history, if you have less than 2 at the current address, please enter additional addresses as needed to show your housing history.
How long were you at this address?
Do You Have More Addresses?
- Yes
- No
Do you need to enter more addresses to get to two years of history?
Other Addresses
Street Address Address Line 2 City State ZIP Code

We need two years of residence history, if you have less than 2 at the current address, please enter additional addresses as needed to show your housing history.
How long were you at this address?
Employment History
Current Employment
Company Name
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Phone
Job Title
Years Employed
Monthly Income Before Taxes
Have you had other employers in the last 2 years?
- Yes
- No
Company Name
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Phone
Job Title
Monthly Income Before Taxes
Years Employed
Are there more employers in the last 2 years?
- Yes
- No
Company Name
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Monthly Income Before Taxes
Years Employed
Any more employers in the last 2 years?
- Yes
- No
Company Name
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Monthly Income Before Taxes
Years Employed
Other Income
Disability?
if so, how much income monthly?
Social Security
if so, how much income monthly?
Retirement
if so, how much income monthly?
Child Support
if so, how much income monthly?
Assets
How Much In Checking?
How Much In Savings?
How Much In Retirement?
Any Other Accounts, And If So How Much In Each?
Financial History
Have you had a bankruptcy?
- Yes
- No
Please list type of bankruptcy filed, the dates, and whether or not it was discharged
Have you had a foreclosure?
- Yes
- No
Please list the dates, and any notes.
Have you had a short sale?
- Yes
- No
Please list the dates, and any notes.
Any other negative credit items in the last year?
Comments or notes on negative items?
Email
This field is for validation purposes and should be left unchanged.

KDA Home Financial, LLC
935 E. Main Street
Suite 101
Mesa, Arizona 85203

Office: (480) 939-3009
Direct (480) 309-5389
Fax: 1-800-699-5901
Email: jlausen@kdafinance.net

NMLS License Number: 1040394
Arizona Broker License Number: MB0928066

© Copyright 2015 KDA Home Financial