Pre Qual PG 2 - Distributed

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Intend to occupy as primary residence?

Yes No Name:

Address:

PLEASE FAX COMPLETED APP TO (888) 285-5307

Pre-Qualification Application:

Sales Price: $

Down Payment: $

Employer: DOB: (mm/dd/yyyy)

Self Employed

B u ye r Inf or mat ion

Address: Phone Number: CIty Previous Address: (If less than 2 years at current) US CItizen Yes No Permanent Resident Yes No Married Separated Single/Divorced Separated Foreclosure in the last 5 years? Home Number: State: Zip:

E m pl oy m e n t In f o r m at i o n

SSN:

Occupation/ Title: Address: Work Number: City: Monthly Gross Base Income: State: Zip

Monthly OT/Bonus/Commission

Start Date: (mm/dd/yyyy) Previous Employer: (If less than 2 years at current)

Years in this line of work: 1-2 3-6 7-10 11> Length of Employment Occupation/ Title:

Bankruptcy in the last 7 years?

Rent

Own

Monthly Payment:

Phone:

Name: DOB: (mm/dd/yyyy)

Employer:

Address: Phone Number: CIty Previous Address: (If less than 2 years at current) US CItizen Yes No Permanent Resident Yes No Married Separated Single/Divorced Separated Foreclosure in the last 5 years? Home Number: State: Zip:

Em p loy men t In f or mat i on

SSN:

Occupation/ Title: Address: Work Number City: Monthly Gross Base Income: State: Zip

Co-Bu yer Inf or mat ion

Monthly OT/Bonus/Commission

Start Date: (mm/dd/yyyy) Previous Employer: (If less than 2 years at current)

Years in this line of work: 1-2 3-6 7-10 11> Length of Employment Occupation/ Title:

Bankruptcy in the last 7 years?

Rent:

Own:

Monthly Payment:

Phone:

Real Estate

Other Owned Property: Property Address (S=sold, PS= pending sale, R=rental) $ $ $ Bank Name

Present Market Value $ $ $ Balance Balance: Yes No

Mortgage & Liens

Gross Rental Income $ $ $ $ $ $

Mortgage Payments $ $ $

Ins., Maint., Taxes & Misc. $ $ $

Net Rental Income

Source of Down Payment and Amount:___________________, $________________ Home Equity Line of Credit: If yes, Amount Available: ! $_____________________ If yes, Estimated Proceeds: $__________ ) Ofce ( ) Email: __________________________

Assets

Bank Name Do you intend to sell your home in order to purchase this home: Preferred form of contact: Borrower Co- Borrower via

Home (

Authorization to Release Information


! I/We certify that the information provided in this application is true and correct as the date set for opposite my/our signatures on this application and acknowledge my/ our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, ne or imprisonment or both under the provisions of Title 18, the United States Code, Section 1001, et seq., and liability for monetary damages to the lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application. I/We herby certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application, and acknowledge that any false statement contained in this application may result in civil liability and or/criminal penalties. Borrower:______________________________________________! Co-Borrower:___________________________________________! ! ! ! ! ! ! ! ! Date:___________________________________________ Date:___________________________________________

Pre-Qualification

New Vision Mortgage and Real Estate

You might also like