Inland Empire Home Builders .:: Trinity Homes .:: GFR Homes, Inc.

For questions about this form, please contact Pete Krebs at pete.krebs@sbcglobal.net

Property Address

Sales Price

Date

Salesperson

FORM UNDER CONSTRUCTION	Borrower	Co-Borrower
Married:	Yes No	Yes No
Name:
Birthdate:
Social Security Number:
Current Address
City
State
Zip
Yrs at current address
Own or Rent?
E-Mail address:
US Citizen:	Yes No	Yes No
Bankruptcy; Foreclosure or Shortsale in the last 7 yrs:	Yes No	Yes No
EMPLOYMENT INFORMATION
Self Employed:	Yes No	Yes No
Employer Name:
Address:
City
State
Zip
Years on job:
Yrs in industry:
Phone Number
Job Title
Monthly income:
Monthly Min Debt:( Alimony; Child Support; Credit Card; Car Pmt; etc).

ASSETS
Checking Account Number		Balance
Savings Account Number		Balance
Stocks, Bonds, CD's
Other		Please Specify
401k		Do you have a loan on your 401K	Yes No
Net Proceeds from Sale of Home

I/We Authorize GFR Homes and its Preferred lenders (*Broker) to obtain My/Our credit report by signing below for the pre-qualification of a mortgage loan. Authorization to receive and convey: I authorize the Broker to receive and convey credit information for prequalification purposes obtained to other lenders as necessary to secure the mortgage. I/we authorize GFR Homes preferred lenders to convey required information to the seller and seller’s agent for the purpose of purchasing the above listed property.
Agreed by Borrower	Yes No	Agreed by Co-Borrower	Yes No