Real Estate Pre-Qualification Form

Text Size:
Borrower Name:
Telephone #:
E-Mail Address:
Loan Amount Requested:
Applicant(s):
Loan Type:
(check one)
15 Yr Fixed
5/25 ARM
5/30 ARM
Property Address:
Tax Map Section: Block
Lot
Building Size: Sq Ft
# stories
Lot Size: Sq Ft
If Refinance, enter existing loan
Month / Year Purchased /
Purchased for
Property Type Per Certificate of Occupancy
(Specify # of Units)

Monthly Rent

Store #1 Type  sq. ft. 
Store #2 Type  sq. ft. 
Store #3 Type  sq. ft. 
Total Income Stores:
Apt #1 # of bdrm
Apt #2 # of bdrm
Apt #3 # of bdrm
Apt #4 # of bdrm
Apt #5 # of bdrm
Apt #6 # of bdrm
Apt #7 # of bdrm
Apt #8 # of bdrm
Apt #9 # of bdrm
Apt #10 # of bdrm
Total Income Apartments:

Annual Expenses

Taxes: Reserves:
Management: Repairs & maint.:
Legal Fees: Painting:
Fuel: Miscellaneous:
Electricity: Insurance:
Water & Sewer: Salaries:
Total Expenses:

If Applicable:   Officer Name:   Dept/Branch:


  • (Market Rent, as determined by the Bank, is considered for Owner Occupied Units)
  • (DCHR Rent Certification will be Required for Properties with 6 or more Apts.)