Fast Pre-Qualifying For Financing

 

*Required Information

Borrower Information Co-Borrower Information
  *Last Name
 Last Name
  *First Name
 First Name
  *Street Address
 Street Address
          *City        *State     *Zip
  		       City            State       Zip
  
  *Time at Current Residence
 Time at Current Residence
  *Date of Birth
 Date of Birth
  *Social Security #
 *Social Security #
  Current Employer
 Current Employer
  Employment Length
 Employment Length
 

Borrower Financial Information

 Co-Borrower Financial Information
  *Monthly Salary (Include Taxes)
 Monthly Salary (Include Taxes)
  Bonuses (average for a year)
 Bonuses (average for a year)
  Any Other Monthly Income
 Any Other Monthly Income
  Monthly Mortgage Payment
 Monthly Mortgage Payment
*Estimated Loan Amount (Purchase Price)
  Borrower Contact Information Co-Borrower Contact Information
  E-mail Address
 E-mail Address
  *Home Phone
 Home Phone
  Work Phone
 Work Phone

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity and fair housing laws.  You are not required to furnish this information, but are encouraged to do so.  The law provides that a lender may neither discriminate on he basis of this information, nor on whether you choose to furnish it.  However, if you choose not to furnish the information, under federal regulations the lender is required to note race or national origin and sex on the basis of visual observation or surname.  If you do not wish to furnish the information, please check below.

BORROWER:   I do not wish to furnish this information.

Race or National Origin:      

Sex:  

CO-BORROWER:   I do not wish to furnish this information.

Race or National Origin:  

Sex:

*YOU WARRANT THAT THE INFORMATION YOU ARE FURNISHING ABOVE IS TRUE, ACCURATE, SUPPLIED VOLUNTARILY, AND NOT MISLEADING.  YOU AUTHORIZE US, AT OUR OPTION: TO CHECK YOUR CREDIT AND EMPLOYMENT HISTORIES NAMED ABOVE; TO ANSWER QUESTIONS ABOUT YOUR CREDIT HISTORY WITH US; AND TO KEEP THIS APPLICATION WHETHER OR NOT IT IS APPROVED.   WE MAY OBTAIN CONSUMER CREDIT REPORTS PERIODICALLY FROM ONE OR MORE CONSUMER REPORTING AGENCIES (CREDIT BUREAUS) IN CONNECTION WITH YOUR APPLICATION AND ANY UPDATE, RENEWAL, REFINANCING, MODIFICATION OR EXTENSION OF CREDIT.

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