QUICK QUALIFIER WORKSHEET (To print and fax this form, please click here).   ADDRESS OF SUBJECT PROPERTY (Street, City, State, Zip)   UNIT # SALES PRICE $ LENDER INCENTIVE $ BORROWER INFORMATION Borrower Co-Borrower Name Name D.O.B. D.O.B. Married Yes No Married Yes No Social Security # Social Security # Home Phone # Home Phone # Work # Work # Cell # Cell # E-Mail E-Mail Present Address (Street, City, State, Zip) Please provide 2 yr history Present Address (Street, City, State, Zip) Please provide 2 yr history Own Rent   Years Own Rent   Years Monthly Rent/Mtg $ Monthly Rent/Mtg $ Previous Address (Street, City, State, Zip) Previous Address (Street, City, State, Zip) Own Rent   Years Own Rent   Years Monthly Rent/Mtg $ Monthly Rent/Mtg $ EMPLOYMENT INFORMATION Please Provide 2 Yr History Name Name Position Position Years Years   Name Name Position Position Years Years INCOME INFORMATION Gross Monthly Income Gross Monthly Income Other Monthly Income Other Monthly Income Total Monthly Income Total Monthly Income ASSETS Bank Balance Bank Balance 1. $ 1. $ 2. $ 2. $ 3. $ 3. $ By initialing here, we hereby give our consent to have Money Source Funding, Inc., its secondary market investors or any reporting bureau which it may designate, to obtain any and all information concerning our credit matters which they may require in connection with our pre-qualification for a loan. Borrower Initials: Co-Borrower Initials: