NMLS #1660690

Thank you for contacting
NEXA Mortgage
Please fill out our form below.
Your data is secure and protected.


Purpose of this loan?



Property type?





How will this property be used?




Mixed-Use: if you will occupy the property, will you set aside space within the property to operate your own business? (e.g., daycare facility, medical office, beauty/barber shop)

Borrower Information

We will gather some basic information about you and your mortgage needs to help find you the best available options there are.

Contact Information

By clicking "Next" you agree to receive calls, emails, SMS, or texts from NEXA Mortgage according to the Software Terms of Use and Privacy Policy. You also agree to receive documents electronically.

Current Address

Living Details

Birth Date

Social Security Number

Employment Section




Employed

Please add your employment information below

Do not include bonuses, overtime, or commission, this will be added later.

Self Employed

Any Additional Monthly Income?


Assets

+ add additional assets

Additional Real Estate Owned


Additional Real Estate Owned

Additional Details (Marital Status)



Do you pay child support or alimony?


How Much Per Month

Are You a Veteran?


How Many Dependents?

First Time Home Buyer?


Add Co-borrower?

Are you applying with another borrower or co-borrower?


Are you married to the Co-borrower?


Co-borrower Details

Co-borrower address the same as borrower?


Co-borrower address

Living Details

How long has the co-borrower lived at the current address?

Birth Date

Social Security Number

Employment Section




Employed

Please add your employment information below

Do not include bonuses, overtime, or commission, this will be added later.

Self Employed

Any Additional Monthly Income?


Any assets not already listed by the borrower?


Additional Real Estate Owned

Does the co-borrower have any real estate owned not already listed by the borrower?


Additional Real Estate Owned

Does co-borrower pay child support or alimony?


How Much Per Month

Are You a Veteran?


How Many Dependents?

First Time Home Buyer?


Notice: Upon submission of your prequal form, each co-borrower added will receive an email with the subject "FIRST_NAME LAST_NAME Toolbox Link" (if not found check spam folder). Co-Borrowers can use the toolbox link to complete their portion of the prequal form OR you can complete their portion by following the next steps. Please DO NOT have the co-borrowers fill out a new prequal form.

Each co-borrower will have to sign their own credit authorization from their own toolbox. If the email is not found in the inbox, please check the spam folder.

Are you married to a co-borrower?


Are you married to a co-borrower?

How did you hear about us?

Authorization

agree to PreApp LLC Software Terms of Use and Privacy Policy. also agree to NEXA Mortgage eDisclosure and eSignature Credit Authorization agreements. I authorize by my Electronic Signature below, for NEXA Mortgage to obtain a credit report. I also understand and consent that my Social Security Number may be used to digitally verify income/employment/assets.

Thanks

Thanks

NEXA Mortgage
MLO - Bill Burg
NMLS #1647508
CA-DFPI1647508

3100 W Ray Rd Suite 201
Office #209
Chandler, AZ 85226
Business Phone: (941) 444-0010
Cell Phone: (941) 444-0010
Fax: (888) 424-3889
Website: www.billburgmortgage.com
Email: bburg@nexamortgage.com

NMLS Consumer Access

This is not an offer to enter into an agreement. Not all customers will qualify. Information, rates and programs are subject to change without notice. All products are subject to credit and property approval. Other restrictions and limitations may apply. Copyright © 2020 | The Dream Team with NEXA Mortgage LLC.

Licensed In: FL, NMLS # 1647508 | NMLS ID 1660690 | AZMB #0944059 Corporate Address : 3100 W Ray Rd Suite 201, Office # 209. Chandler, AZ 85226