Samuel Kahuila/John Wuertz 856.912.3219
Samuel Kahuila/John Wuertz 856.912.3219

Welcome to the John Wuertz mortgage pre-qualification form. Please complete the information below.  We will have our Mortgage Counselor contact you for specifics and review the mortgage process and costs with you.

Contact Information

Title

First Name (Required)

Last Name (Required)

Phone Number (With Area Code)

E-mail Address (Required)

Preferred method of contact.


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.

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