Finance Pre-Qualification Form

When you have finished filling out data, Please send application
by clicking on at the end of this form.

  
FIRST & LAST NAME OF BORROWER:      Age: 
Current Address:                   
City, St., Zip:                    
Social Security Number:              
Phone number with Area Code:       
Fax Number with Area Code:         
Email Address if applicable:         "REQUIRED"
Previous Add. if less than 2 yrs.: 
City, St., Zip:                    

Type "AUTHORIZE" in all CAPS to
Authorize a Credit Report Inquiry:  Optional

FIRST & LAST NAME OF CO-BORROWER:   Age: 
~~(You may type the word 'Same' if applicable in fields below.)~~   
Current Address:                   
City, St., Zip:                    
Social Security Number:              
Phone number with Area Code:       
Fax Number with Area Code:         
Email Address if applicable:       
Previous Add. if less than 2 yrs.: 
City, St., Zip:                    
Type "AUTHORIZE" in all CAPS to
Authorize a Credit Report Inquiry:  Optional


EMPLOYMENT BORROWER:
Present Employer:                  
Address:                           
City, St., Zip:                    
Years & Months Employed:           -
Current Gross Monthly Income:      
Previous Emp. if less than 2 yrs:  
Address:                           
City, St., Zip:                    
Years & Months Employed:           -
 

EMPLOYMENT CO-BORROWER:
Present Employer:                  
Address:                           
City, St., Zip:                    
Years & Months Employed:           -
Current Gross Monthly Income:      
Previous Emp. if less than 2 yrs:  
Address:                           
City, St., Zip:                    
Years & Months Employed:           -
  
ADDITONAL INCOME: (2 Year History)
Source                             
Gross Monthly Income:              

CASH ASSETS:
Bank Accounts:
Name of Bank:     
Address:          
City, St., Zip:   
Account #:          Balance: $:
Account #:          Balance: $:

Name of Bank:     
Address:          
City, St., Zip:   
Account #:          Balance: $:
Account #:          Balance: $:

LIABILITIES:
Account Name:     Account #: 
Loan Balance:     Min. Pymt: 

Account Name:     Account #: 
Loan Balance:     Min. Pymt: 

Account Name:     Account #: 
Loan Balance:     Min. Pymt: 
Account Name:     Account #: 
Loan Balance:     Min. Pymt: 

Account Name:     Account #: 
Loan Balance:     Min. Pymt: 

TOTAL OF MINIMUM PAYMENTS:  
CURRENT MORTGAGE INFORMATION (Last 2 Years)
Lender:         
Address:        
City, St., Zip: 
Loan Number:      Balance: $: 
Monthy Payment:   Sales Price:
Type of Loan:  FHA, VA, Conv.: 

LANDLORD INFORMATION: (2 Years)
Landlord:       
Address:        
City, St., Zip: 
Phone Number:   

Additional Comments: