Global Community Development, LLC

1202 SE 8th Place, Cape Coral, FL 33990

Pre-Qualification Worksheet
Date: _________________
Purpose of Purchase
Investment Property, how many mortgages do you have currently in your name? __________________

Borrower

Name: __________________________________________________________________________________________________

________________________________________________________________________________________________________
Current Address City State ZIP

Home Phone: _______________________ Cell Phone: _________________________ Fax: ____________________________

Email Address ____________________________________________________________________________________________

How Long at current address: ____________ Own / Rent Monthly Payment: $________________

Social Security Number: __________________________________ Date of Birth: __________________________________

Employer: ________________________________________________________ Phone: __________________________

Occupation: _______________________________________________________ # of Years: ___________

Base Annual Income: $___________________ W2 / 1099 / SELF

Co-Borrower

Name: __________________________________________________________________________________________________

________________________________________________________________________________________________________
Current Address City State ZIP

Home Phone: _______________________ Cell Phone: _________________________ Fax: ____________________________

Email Address: __________________________________________________________________________________________

How Long at current address: ____________ Own / Rent Monthly Payment: $________________

Social Security Number: __________________________________ Date of Birth: __________________________________

Employer: ________________________________________________________ Phone: __________________________

Occupation: _______________________________________________________ # of Years: ___________

Base Annual Income: $___________________ W2 / 1099 / SELF

I/We hereby affirm that the above information is true and correct to the best of our knowledge and authorize
Global Community Development, LLC and/or their Preferred Lenders to order an in file credit report, if
needed. The information obtained will be used for the construction and purchase of a home.

_____________________________________ ___________________________________
Borrower Co-Borrower