Team Aldrich
(530) 647-7360 Direct
(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)
   
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