SAMPLE PRE-APPROVAL FORM

Page 1 of 2

APPLICANT INFORMATION

Name:_________________________________________________________________________________________________________________
Email Address:_____________________

Phone:__________________________

Cell:_______________________
Date of Birth:__________________

Soc Sec #:____________________________

Fax#:______________________

Current Address:_______________________________

City:_______________

State:___________

Zip Code:_______

(Check One): Own ___ Rent ___

Monthly payment or rent:__________________

How Long?:___________________

Previous Address:_______________________________

City:_______________

State:___________

Zip Code:_______

(Check One): Owned ___ Rented ___

Monthly payment or rent:__________________

How Long?:___________________

_________________________________________________________________________________________________________________________
EMPLOYMENT INFORMATION

Current Employer:________________________________________________________________

 How Long?:____________

Employer Address:______________________________________

 City:______________ State:__________ Zip:__________

Employer Phone:_________________________

 Email:________________________ Fax:___________________

Your Position:__________________

 (Check one) Hourly____ Salary_____ Gross Monthly Income:___________________

Previous Employer:________________________________________________________________

 How Long?:____________

Employer Address:______________________________________

 City:______________ State:__________ Zip:__________

Employer   Phone:_________________________

 Email:________________________ Fax:___________________

Your Position:________________________

 Hourly Wages $_______  Monthly Salary $_______ Commission________

Independent Contractor:(Check one) Yes___  No____

 Current Annual Income: $___________________________
Last Year Annual Income: $_________________________

_______________________________________________________________________________________________________________________
LOAN INFORMATION

Approximate Loan Amount Desired:____________________________________

 Appx. Purchase Price:____________

_______________________________________________________________________________________________________________________
IF JOINT ACCOUNT - ENTER CO APPLICANT INFORMATION

Name:_________________________________________________________________________________________________________________
Email Address:_____________________

Phone:__________________________

Cell:_______________________
Date of Birth:__________________

Soc Sec #:____________________________

Fax#:______________________

Current Address:_______________________________

City:_______________

State:___________

Zip Code:_______

(Check One): Own ___ Rent ___

Monthly payment or rent:__________________

How Long?:___________________

Previous Address:_______________________________

City:_______________

State:___________

Zip Code:_______

(Check One): Owned ___ Rented ___

Monthly payment or rent:__________________

How Long?:___________________

CO-APPLICANT EMPLOYMENT INFORMATION

Current Employer:________________________________________________________________

 How Long?:____________

Employer Address:______________________________________

 City:______________ State:__________ Zip:_________

Employer Phone:_________________________

 Email:________________________ Fax:___________________

Your Position:__________________

 (Check one) Hourly____ Salary_____ Gross Monthly Income:___________________

Previous Employer:________________________________________________________________

 How Long?:____________

Employer Address:______________________________________

 City:______________ State:__________ Zip:__________

Employer Phone:_________________________

 Email:________________________ Fax:___________________

Your Position:___________________________

 Hourly Wages $_______  Monthly Salary $_______ Commission________

Independent Contractor:(Check one) Yes___  No____

 Current Annual Income: $___________________________
Last Year Annual Income: $_________________________

_______________________________________________________________________________________________________________________
CREDIT CARDS

Name

Account #

Current Balance

Monthly Payment

_____________________________

_______________________

______________

_______________

_____________________________

_______________________

______________

_______________

_____________________________

_______________________

______________

_______________

_____________________________

_______________________

______________

_______________

_____________________________
_____________________________

_______________________
_______________________

______________
______________

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MORTGAGE COMPANY

Account # _____________________________

Address: ___________________________________________________

_______________________________________________________________________________________________________________________
AUTOMOBILE OR VEHICLE LOANS

Name

Account #

Current Balance

Monthly Payment

_____________________________

_______________________

______________

_______________

_____________________________

_______________________

______________

_______________

_______________________________________________________________________________________________________________________
OTHER LOANS, DEBTS OR OBLIGATIONS

Name

Account #

Current Balance

Monthly Payment

_____________________________

_______________________

______________

_______________

_____________________________

_______________________

______________

_______________

______________________________________________________________________________________________________________________
OTHER ASSETS OR SOURCES OF INCOME- Bank Accounts, Retirement Funds etc.

Description:________________________________________________________________

 Monthly Amount or Value:____________

Description:________________________________________________________________

 Monthly Amount or Value:____________

Description:________________________________________________________________

 Monthly Amount or Value:____________

Description:________________________________________________________________

 Monthly Amount or Value:____________

Description:________________________________________________________________

 Monthly Amount or Value:____________

Description:________________________________________________________________

 Monthly Amount or Value:____________

_______________________________________________________________________________________________________________________
I herby authorize a consumer credit report to be obtained and verify the information provided on this form as to my credit, employment history, present mortgage and landlord references. The information obtained is to be used soley for the purpose of the processing of my application for a mortgage loan.

Applicant Sign Here:________________________________  (Print Name:__________________________

 Date:______

Co-Applicant Sign Here:_________________________________    (Print Name:__________________________

 Date:______

_______________________________________________________________________________________________________________________

SAMPLE PRE-APPROVAL FORM