Apply Online!
By applying on-line, we are better prepared to ‘pre-qualify’ you for any of our loans. A major consideration is the review of your credit report. Please fill in your SS# and if married, your spouse SS#. By filling those in, you will be giving us permission to pull your complete report. If you are only ‘shopping’, please remember that multiple credit report requests may adversely effect your credit scores.

Simply fill out this ‘Prequal Application’ and hit submit. Filling out this form does not in any way commit you or HPFS to any contractual agreement. We will review pertinent information and call you within 72 hours.

Please complete the following fields

How did you find us?    

Please Identify search   
engine or other URL
that led you to us

CONTACT INFORMATION

Name (Last, First)          

Street Address               

City                               

State                             

Zip Code                       

Day Phone                    

Evening Phone             

Fax                                

Email                             

How do you prefer for     
us to contact you?

Best Time                       

SUBJECT PROPERTY INFORMATION

Street Address                  

City                                  

State                                

Zip Code                          

Type of Residence           

Purchase Price                 

Mortgage Amount            

Mortgage Type                 

INCOME AND CREDIT DATA

Source of Income              Salary  Commission  Self-Employed
                                          Other

Annual Income (total         
household)

Incomes anticipated to be  Self  Spouse  Another Co-borrower
used- check as many as
apply

Social Security #              
(Optional) - Yours

Social Security #              
(Optional) - Spouse

Monthly payments, cars,   
loans, etc.

Monthly credit cards          
payment

Realtor Information           

You have my permission   
to call the Realtor
"Realtor Name"
Phone                               

By submitting this on-line application, I/We authorize High Plains Financial Service, Inc. to check such things as my/our credit, business and employment status and histories.