Loan Prequalification:

Purpose of Loan:

Borrower:

First Name Middle Initial Last Name

Address:

City: State: Zip:

 

Do you own or Rent?:

How long at Current Residence?: years.

Home Phone Number:

Best Number to Reach You:

Marital Status:

Co-Borrower: if any (if not please skip down)

First Name Middle Initial Last Name

Address:

City: State: Zip:

Do you own or Rent?:

How long at Current Residence?: years.

Home Phone Number:

Best Number to Reach You:

Marital Status:

Employment Information:

Borrower:

Employer:

Title/Position:

Are you self Employed? :

Time Held:
(years)
(months)

Annual Income:

If less than 2 years with current employer, who was your Previous employer:
(need a full 2 year history, including time held)

Co-Borrower, if any (if not please skip down)

Employer:

Title/Position:

Are you self Employed? :

Time Held:
(years)
(months)

Annual Income:

If less than 2 years with current employer, who was your Previous employer:
(need a full 2 year history, including time held)

Credit and Asset Information

Monthly Obligations:

Creditor Payment Balance Type

Other Obligations:

Fixed Assets:

Real Estate owned: $

Declarations:

If you answer "yes" to any question 1-5, please use the comments box below for explanations

   
Borrower
Co-Borrower
   
yes
no
yes
no
1. Have you been declared bankrupt within the past 7 years?
2. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
3. Are you obligated to pay alimony, child support or separate maintenance?
4. Do you receive alimony or child support?
Monthly Amount :
5. How much can you invest for your down payment?

Comments:

Additional Information:

Your Email Address:

Any Additional Comments: