First Federal Savings & Loan Mortgage Loan Pre-Qualification

* Applicant:
* Co-Applicant:
* Current Address:
* Phone Number:

How would you classify your credit?
	Good	Always pay on or before the due date.
	Average	Usually pay on or immediately after due date.
	Poor	Usually pay after the due date.

What is your current monthly gross income?	$
What is the total you pay monthly in credit card payments and other regular monthly installments?	$
* Optional - If you provide the optional information a personalized pre-qualification letter will be produced.

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Independence, Kansas 67301	Myrtle & 6th	P.O Box 947	(620) 331-1660	FAX (620) 331-1600
Coffeyville, Kansas 67337	McArthur & 11th	P.O. Box 39	(620) 251-4640	FAX (620) 251-0808
Neodesha, Kansas 66757	Main & 8th	P.O. Box 509	(620) 325-3033	FAX (620) 325-5379
Lawrence, Kansas 66049	4311 W. 6th	Suite D	(785) 749-5500	FAX (785) 749-1070
Pittsburg, Kansas 66762	Broadway & 1st	P.O. Box 509	(620) 231-3700	FAX (620) 231-0567
Toll Free: (800) 455-0744   http://www.firstfederalsl.com