Pre-Qualification Application
Loan Officer:
Borrower Information
First Name: Last Name:
SSN: Birth Date:
Home Phone: Work Phone:
Marital Status: Present Addr:
Street:
City: State:
Zip: Years at Addr:
Self-employed:
Credit History: Email Addr:
Issues:
Co-Borrower Information
First Name: Last Name:
SSN: Birth Date:
Home Phone: Work Phone:
Marital Status: Present Addr:
Street:
City: State:
Zip: Years at Addr:
Self-employed:
Credit History: Email Addr:
Issues:
Loan Information
Loan Purpose: Property Type:
Loan Type: Down Payment:
Sales Price: $ Amt Requested: $
Comments:
Financial Information
Monthly Inc: Borrower Co-Borrower Total
Base Income: $ $ $
Overtime: $ $ $
Bonuses: $ $ $
Commissions: $ $ $
Other: $ $ $
Total: $ $ $

Monthly Exp:
Rent Payments: $
Mortgage Payments: $
Automobiles: $
Other: (Credit Cards) $
Other: $
Total: $
Acknowledgement
By checking this box, Borrower and Co-Borrower acknowledge the lender's right to use this information to pre-qualify them for the type of loan stated above and authorize the lender to secure their credit report(s).
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