Have an idea of where mortgages are headed?  Is there a particular interest rate you are anticipating?  Let us watch the market for you.  When your target is reached, we will contact you! We do not share, exchange or sell any of your personal information.  Beyond a simple confirmation letter informing you we receive your request, you will only hear from us when your goal is reached!

Instructions: Use this form and set a 'strike zone.'  Please include as much information as possible. Submit this application electronically by clicking on the "Send Information" button or Print and fax this application to 503 244-1237 or mail to:  Western Mortgage Solutions 12725 SW Millikan Way Suite 300 Beaverton OR 97005 I will contact you if additional information is needed to obtain your prequalification. If you have any questions, please contact me at 503 223-9400 or toll free at 888 LOAN-431.

Personal Information
Name:
Home Phone Number:
Work Phone Number:
Fax Number
E-mail Address:
Best time to call:	am pm
Preferred to be contacted by:	E-Mail Telephone Home Telephone Work Fax
Street Address:
City:
State:
Zip:
Property Information	(if applicable)
Street Address:
City:
State:
Zip:
Property type:	Single Family Condo Other
If other, please specify:
Occupancy type:	Primary Residence Second Home Investment Vacation Other
If other, please specify:
Loan Information
'STRIKE RATE' TO NOTIFY	%  30 Year Fixed 15 Year Fixed Adustable ARM
CURRENT RATE	%
Current Loan Amount
Current Loan Term	30 Year Fixed 15 Year Fixed Adjustable If ARM, adjust date
Home Value (Approximate)
If other, please specify:
Purpose of loan:	Refinance Purchase Equity Loan Other
Income:	month year
Monthly housing expense:	(mortgage, rent, insurance, etc.)
Monthly Loan Payments:
Other Monthly Expenses:	(auto, student loan, alimony, etc.)
Credit History:
Bankruptcy/Foreclosure:	*Since discharged
Other Information:
Comments: