Polk County Real Estate | Lakeland homes for sale

Jazz Irizarry 1137 Bartow Road, Ste D Lakeland, FL 33801

Phone: 863.687.1667Fax: 863.284.5841

Pre-qualification form

Let a local real estate professional find the best Mortgage professional for you! Fill out the below form to get prequalified.

Fields marked with an * are required.

First Name: *
Last Name: *
E-mail: *
Address:
Zip/Postal Code:
City:
Daytime Phone:
Evening Phone:
Purchase Price:
Estimated Value of Your Home if You Are Refinancing:
Loan Amount:
Will this loan be placed on your:
Your current monthly salary from all sources:
Your monthly commissions or bonuses averaged for the last two years, if any:
Current monthly financial obligations (minimum $ due):
Your total liquid assets i.e. checking, savings, stocks, bonds, IRA's, CD's, money market accounts, 401K plans, etc. that have been under your control for at least the last 90 days:
Additional Comments:

* Your privacy is important. Your information will not be shared, sold or exchanged with anyone outside of the scope of this service.