FMA Pre-Qualification Form
For 12 Hour Pre-Qualification Of Your Home Buyer Complete This Form  Fax To 201-969-8405 Attention: Mortgage Loan Department

This Program is a Service of
Federated Mortgage Company of America
Your Mortgage Company for over 15 years!

Co-Borrower:________________________________

Social Security:_______________________________

Home Address:_______________________________

City/State/Zip:________________________________

Day Phone:__________________________________

Eve. Phone:__________________________________

Borrower's Gross Annual Income:$_______________

Co-Borrower's Gross Annual Income:$_____________

Debt:

Auto Loan Payment:____________________________

Personal Loan Payment:_________________________

Total Credit Card Payment:_______________________

Alimony/Child Support:__________________________

Address:___________________________________

City/State/Zip:_______________________________

Sales Price:_________________________________

Down Payment:______________________________

Loan Amount:________________________________

Assets:

Savings$_____________________________________

Checking$____________________________________

Gifts$________________________________________

Program:
Mortgage Type Preferred (Check One)

30 Year Fixed_______
15 Year Fixed_______
Arm (1&3 Year)______
No Doc:____________
Other:______________

Comments:____________________________________

______________________________________________

This Program is a Service of
Federated Mortgage Company of America
Your Mortgage Company for over 15 years!

For More Information On This Or Any Mortgage
Please Call Us Toll Free at
Tel: 201-969-8500
or Fax: 201-969-8405

Remember at Federated
We Always Take The Time To Answer All
Your Questions!!!!