Pre-Qualification Application
Borrower
*
First Name
Last Name
Middle Name
Married?
Yes
No
Dependents?
Yes
No
Are You a Veteran?
Yes
No
Do You Have a 401K?
Yes
No
Do You Have Funds for Down-Payment?
Yes
No
Do You Have a Co-Signer if Needed?
Yes
No
Authorization to Run Credit/Share?
DOB:
SSN:
2 Years of Current Employment History
First Employment
Employer:
Location:
Phone:
Position:
Duration:
Income:
Second Employment
Employer:
Location:
Phone:
Position:
Duration:
Income:
Last 2 Years of Residence History
Current Address
Street Address:
City, State, Zip:
Rent or Own?
Duration?
Monthly Rent/Mortgage Amount?
Previous Address
Street Address:
City, State, Zip:
Rent or Own?
Duration?
Monthly Rent/Mortgage Amount?
Contact Information:
Home Phone:
Cell Phone:
Email
Additional Information:
Date:
Realtor:
Loan Officer:
Do You Already Have A Property In Mind?
If So What Is The Asking Price?
Thank you!
Co-Borrower
*
First Name
Last Name
Middle Name
Married?
Yes
No
Dependents?
Yes
No
Are You a Veteran?
Yes
No
Do You Have a 401K?
Yes
No
Authorization to Run Credit/Share?
DOB:
SSN:
2 Years of Current Employment History
First Employment
Employer:
Location:
Phone:
Position:
Duration:
Income:
Second Employment
Employer:
Location:
Phone:
Position:
Duration:
Income:
Last 2 Years of Residence History
Current Address
Street Address:
City, State, Zip:
Rent or Own?
Duration?
Monthly Rent/Mortgage Amount?
Previous Address
Street Address:
City, State, Zip:
Rent or Own?
Duration?
Monthly Rent/Mortgage Amount?
Contact Information:
Home Phone:
Cell Phone:
Email
Thank you!
