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Welcome to the George L. Ebener and Associates, Realtors mortgage pre-qualification form. Please complete the information below and we will email you a pre-qualification summary.

Contact Information

Title

First Name (Required)

Last Name (Required)

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

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.

George L. Ebener and Associates, Realtors

139 W. High St.                                                 430 E. King St.
     Carlisle, PA 17013                                        Shippensburg, PA 17257
Phone: 717-243-6195                                       Phone: 717-532-8530
Fax: 717-245-0699                                           Fax: 717-532-8322

info@ebener-associates.com
www.ebener-associates.com
Licensed in the Commonwealth of Pennsylvania