Pre-Qualification Form

Why Pre-Qualify? : What happens after I submit a pre-qualification?

( * Denotes Required Fields)
( * Provide Home Phone, Work Phone or Email)

Applicant's Information

First Name:*
Last Name:*
Age:
Date of Birth:*
Social Security Number:*
Home Number:*
Work Number:*
Email Address:*
Present Address:*
City:*
State:*
Zip:*
Present Employer:
Years at Job:
Position:

Gross Monthly Income

Applicant Co-App.
Base:*
Bonuses/Overtime:
Commisions:
Dividends/Interest:
Other:
(Note: Alimony, child-support, or separate maintenance income need not to be revealed if you do not choose to have it be considered for pre-qualification purposes).

Source of other Income:
Average of last 2 years:

Assets/Other

Savings/Checking/Money Market/CD:
$

This home will be...




If purchasing, what is the purchase price?
$

If refinancing, what is the est. value of home?
$
- What are the estimated...
yrly taxes? $
yrly insurance? $

Total amount saved for down payment:
$

I want to keep my monthly payment to no more than:
$

Do you have good credit?
If No please choose why:





Are you a Veteran?

Your current residence; do you...
For how long?
Years: Months:
 
Co - Applicant's Information

First Name:
Last Name:
Age:
Date of Birth:
Social Security Number:
Home Number:
Work Number:
Email Address:
Present Address:
City:
State:
Zip:
Present Employer:
Years at Job:
Position:

Liabilities

Monthly Balance
Mortgage/Rent:
Other Real Estate:
Installment Loans:
Credit Cards:
Student Loans:
Personal Loans:
Alimony/Maintenance:
Child Support:

Miscellaneous

Are you working with a Realtor?

If yes, who?


Legal

Do you give authorization to pull an infile credit report.

I/we acknowledge and agree that this application is for pre-qualification purposes only and that the information provided in this application along with an in-file credit report, if deemed necessary, are the only criteria that will be used to evaluate my/our pre-qualification status. I/we further agree upon my/our request Southwest Business Mortgage Corporation (SWBC) will begin a formal mortgage loan application for a specific property and loan amout.

Applicant's Acknowledgement*
Co-Applicant's Acknowledgment

Other

Referred By:


   




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