For Pre-approval information, call Loren Rey at Rock Financial (office: 248-451-5410, cell: 586-876-2367, email: lorenrey@rockfinancial.com), or you may fill out the information below to get your confidential online financing pre-approval
through .

First Name:			Middle Initial:
Last Name:
Co-Borrower (if any):
Address:
City:			State:
Zip Code:			How long there?
Home Phone:			Work Phone:
Best Time to Call:
E-mail Address:
Birth Date:			Social Security #:

Please Check One:		I am Married I am Single
Desired Down Payment:

EMPLOYMENT INFORMATION:

Please Check One:		Self Employed Other Employer
Employer's Name:
Address:

City:				State:
Zip Code:				Years there?

Additional Comments:

For additional information regarding our homes, give us a call at (586) 582-9500, or email us at info@gallocompanies.com.