Jennifer Rathbun - Affordable Housing Specialist, for Caroline and Spotsylvania Virginia

Welcome to Jennifer's mortgage pre-qualification form. Please complete the information below and we will email you a pre-qualification summary. I will also send your information to a mortgage specialist that will review your information and contact you shortly.

Contact Information

Title

First Name (Required)

Last Name (Required)

Phone Number (With Area Code)		E-mail Address (Required)
Preferred method of contact.		PhoneEmail

Mortgage Prequalification Information

Gross income before taxes.
Current pay period.
Current monthly housing cost.
Do you rent or own?
Monthly car payment.
Student loan payment.
Monthly credit card debt.
Additional monthly debt.

Additional Comments

Please include additional information that may be of importance.

	Coldwell Banker Elite Phone: 866-375-2457 Fax: 815-301-6649 Massaponax Office - 5444 Jefferson Davis Highway, Suite 100 Fredericksburg, Virginia 22407