Get pre-approved for a loan with this form Type of Loan Purchase Refinance If Refinance, Cash Out? Yes No Purchase Price or Estimated Value Requested Loan Amount Home Phone Borrower Full Name Borrower's E-mail Borrower Gross Monthly Income (All Sources) Borrower Work Number Co-Borrower Full Name Co-Borrower Gross Monthly Income Co-Borrower Work Number Address City ZIP code Total of Liquid Assets (Check/Savings, Stocks, Bonds, 401k, etc.) Total Installment Payments (Car Loans, Student Loans, other fixed payments) Total Owed on Credit Cards Current Mortgage Payment Additional Comments I/we authorize Kenica Financial Corporation to verify my/our credit and employment.