Purchase Pre-Approval Form

The pre-approval process will provide you with the appropriate rates and fee options for your loan decisions. Getting pre-approved will help you determine how much of a loan you can afford and is not a commitment to making a loan.

This is a secured form. Your information is kept safe and confidential.

* denotes required field

Borrower's Information

* Loan Type: Purchase Refinance Home Equity

* First Name:

* Last Name:

* Social Security #: - -

E-mail Address: (bob@bob.com)

* Date of Birth: / / (mm/dd/yyyy)

Are You Married? Single?

* Address: Own? Yes: No:

* City: * State: * Zipcode:

How long at this address? Years: Months:

* Home Phone: ( ) - Work Phone:( ) -

Employer: Self-Employed?

Position or title:

Time with this employer: Years: Months:

* Gross Monthly Income: $ (whole dollar amount)

Co-borrower's Information

There will not be a Co-borrower for this loan.

* First Name:

* Last Name:

* Social Security #: - -

* Date of Birth: / / (mm/dd/yyyy)

* Home Phone: ( ) - Work Phone:( ) -

Employer: Self-Employed?

Position or title:

Time with this employer: Years: Months:

* Gross Monthly Income: $ (whole dollar amount)

Monthly Payments

Mortgage/Rent: (whole dollar amount)

Car Payments : (whole dollar amount)

Credit Card Payments: (whole dollar amount)

Total Monthly Expenses : (whole dollar amount)

Other Information

Bankruptcy or Foreclosure?: Yes No: (within the last 7 years)

if yes, date discharched: / / (mm/dd/yyyy)

Other Income: (whole dollar amount)

Child Support: (whole dollar amount)

Disability Income: (whole dollar amount)

Estimated Loan Amount: (whole dollar amount)

Cash available for Downpayment: (whole dollar amount)

Comments:

* How did you hear about us?: Internet Search Print Ad Referral

If referral, enter their name:

I hereby authorize Lender/Broker to verify my past and present employment earning records, bank accounts, stock holdings and any other asset balances that are needed to process my mortgage application. I further authorize the Lender/Broker to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization. The information the Lender/Broker obtains is only to be used in the processing of my application for a mortgage loan.

* Initials: