My agreement below acknowledges that I have given my permission for you to obtain a credit report for the purposes of counseling me on mortgage loan products and the maximum loan amounts for which I may qualify. I understand that the pre-qualification process is not an application and the information is provided merely to give me an idea of the products and loan amount for which I may qualify. Further, I understand that this information will be kept completely confidential by Mykel Martin & Associates.
Input Your Information
* Name
* Email
How did you first hear about us?
Advertisement, Referred by friend, relative, other, By word of mouth, Other, please specify
Are you presently in need of any of the following services? First Mortgage
Residential, Commercial, Other Loan (foreign, national, jumbo, etc.)
Second Mortgage
Residential, Commercial, For a project more than 6 months into the future
Where is the property located?
Street Address:
City, State, County and Zip
Your Contact Information
Primary Full Name:
Primary SSN:
Secondary Full Name:
Secondary SSN:
Address, City, State and Zip
Home Phone:
Business Phone:
My agreement below acknowledges that I have given my permission for you to obtain a credit report for the purposes of counseling me on mortgage loan products and the maximum loan amounts for which I may qualify. I understand that the pre-qualification process is not an application and the information is provided merely to give me an idea of the products and loan amount for which I may qualify. Further, I understand that this information will be kept completely confidential by Mykel Martin and Associates.
I Agree
I Disagree

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Tri County Residential Group
7828 N. Haven Ave • Rancho Cucamonga, CA 91730
Office: (909) 476-9600 •