Great Homes. Great Rates. It's Time! 

3301 13th Avenue South
Fargo, North Dakota 58103
(701) 461-8450 or (800) 373-5654
   
 
 
 
 

PRE-QUALIFICATION FORM
 

Borrower Information

 
First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail
   
   
   
   
   
   
   

 

 

 

 

 

 

 

 

Best Time To Contact
Best Way To Contact You Work Phone  Home Phone  E-mail
Are you a first time homebuyer? Yes  No
Please estimate your credit history.
Preferred Loan Officer?

Programs, rates, terms and conditions are subject to change without notice.
Some restrictions may apply.

© Valley Mortgage, Inc. 2006. All Rights Reserved.


 

 

Equal Housing Lender