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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:*

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:

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:

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:

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?
Borrower*
Yes
No

Co-borrower (Skip if no co-borrower)
Yes
No

HAVE YOU HAD ANY JUDGMENTS FILED AGAINST YOU IN THE LAST 7 YEARS?
For All Applicants:*
Yes
No

HAVE YOU HAD PROPERTY FORECLOSED UPON OR GIVEN TITLE OR DEED IN LIEU THEREOF IN THE LAST 7 YEARS?
Borrower*
Yes
No

Co-borrower (Skip if no co-borrower)
Yes
No

ARE YOU OBLIGATED TO PAY ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE?
Borrower*
Yes
No

If "yes" please enter monthly amount:

Type of Obligation:

Child Support, Alimony, etc.
Co-borrower (Skip if there is no co-borrower)
Yes
No

If "yes" please enter monthly amount:

Type of Obligation:

Child Support, Alimony, etc.
ARE YOU A U.S. CITIZEN?
Borrower*
Yes
No

Co-borrower (Skip if no co-borrower)
Yes
No

ARE YOU A PERMANENT RESIDENT ALIEN?
Borrower*
Yes
No

Co-borrower (Skip if no co-borrower)
Yes
No

DO YOU INTEND TO OCCUPY THE PROPERTY AS YOUR PRIMARY RESIDENCE?
Borrower*
Yes
No

Co-borrower (Skip if no co-borrower)
Yes
No

HAVE YOU HAD OWNERSHIP INTEREST IN A PROPERTY IN THE LAST 3 YEARS?
Borrower*
Yes
No
N/A

Co-borrower (Skip if no co-borrower)
Yes
No


I AUTHORIZE THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY.
borrower:*
Yes
No

Co-Borrower (Skip if no co-borrower):
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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