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Pre-Qualification
Applicant(s) E-Mail
Important: Please enter a valid e-mail address. Important correspondance will be sent to this address.
Applicant:*
Co-Applicant (email must be different from Applicant`s)
Are you working with a Real Estate Agent*
Yes
No
If Yes, enter their name and phone number:
Do you Own or Rent?:*
Own
Rent
Purpose For Applying:*
Purchase
Refinance
Are you or a Co-Appplicant a US Veteran?:*
Yes
No
Applicant Information
First Name:*
Middle Initial:
Legal Last Name (Include I, II, Jr., Sr. etc. if applicable):*
If you have used an alias in the past, please enter it below:
Social Security # (Enter numbers only):*
Address:
*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Home Phone:*
Work Phone:
Cell Phone:*
Years at Current Address:*
Number of Dependents:
Ages:
Date of Birth (MM/DD/YYYY):*
What is your marital status?*
Married
Unmarried
Separated
Co-Applicant Information
Do you Own or Rent?:
Own
Rent
First Name:
Middle Initial:
Legal Last Name (Include I, II, Jr., Sr. etc. if applicable):
If you have used an alias in the past, please enter it below:
Social Security # (Numbers Only):
Address Line 1:
Address Line 2:
City:
State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Cell Phone:
Home Phone:
Work Phone:
Years at Current Address:
Number of Dependents:
Ages:
Date of Birth (MM/DD/YYYY):
What is your marital status?
Unmarried
Married
Separated
Financial Information (Applicant)
Current Mortgage/Rent:*
Current Occupation (Enter your title):*
Estimated start date:*
Current employer or business name:*
Years employed At your current job:*
Monthly Gross Income:*
Previous Occupation (If you`ve been at your current job less than 2yrs):
Previous Employer or Business Name:
Estimated start date:
My last day there was:
Years Employed in this line of work:
Other Income Source:
Monthly gross income from this source:
Financial Information (Co-Applicant)
Current Mortgage/Rent:
Current Occupation (Enter your title):
Estimated start date:
Current employer or business name:
Years employed at your current job::
Monthly Gross Income:
Previous Occupation (if you`ve been at your current job for less than 2yrs):
Previous Employer or Business Name:
Estimated start date:
My last day there was:
Years Employed in this line of work:
Other Income Source:
Monthly gross income from this source:
Declarations
HAVE YOU BEEN DECLARED BANKRUPT IN THE PAST 7 YEARS?
Applicant:*
Yes
No
Co-applicant: (Skip if no co-borrower)
Yes
No
HAVE YOU HAD ANY JUDGMENTS FILED AGAINST YOU IN THE LAST 7 YEARS?
Applicant:*
Yes
No
Co-applicant:
Yes
No
HAVE YOU HAD PROPERTY FORECLOSED UPON OR GIVEN TITLE OR DEED IN LIEU THEREOF IN THE LAST 7 YEARS?
Applicant:*
Yes
No
Co-applicant (Skip if no co-applicant):
Yes
No
ARE YOU OBLIGATED TO PAY ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE?
Applicant:*
Yes
No
If "yes" please enter monthly amount:
Type of Obligation:
Child Support, Alimony, etc.
Co-applicant (Skip if there is no co-applicant):
Yes
No
If "yes" please enter monthly amount:
Type of Obligation:
Child Support, Alimony, etc.
ARE YOU A U.S. CITIZEN?
Applicant:*
Yes
No
Co-applicant: (Skip if no co-applicant)
Yes
No
DO YOU INTEND TO OCCUPY THE PROPERTY AS YOUR PRIMARY RESIDENCE?
Applicant:*
Yes
No
Co-applicant (Skip if no co-applicant):
Yes
No
HAVE YOU HAD OWNERSHIP INTEREST IN A PROPERTY IN THE LAST 3 YEARS?
Applicant:*
Yes
No
N/A
Co-applicant (Skip if no co-applicant):
Yes
No
I AUTHORIZE THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY.
Applicant:*
Yes
No
Co-Applicant (Skip if no co-applicant):
Yes
No
By entering my first & last name below, I agree to have a loan officer contact me to complete this pre-qualification.
Signature*
The best way to contact me is:
*
Telephone
E-mail
The best time to contact me is:
*
Mornings
Afternoons (After 2 p.m.)
Evenings (until 7:30 p.m.)
Anytime
Weekends only
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