This application is designed to be completed by the applicant(s) for the purpose of qualifying to purchase residential real estate. There is no guarantee of loan approval or no guarantee of a full qualification. This form is to assist your, Real Estate Professional in gathering information about clients and prospective clients. The information you enter into this form will be used for the prequalification process for residential real estate, new home purchase, resale homes, rentals, loan pre approval, lender approval.

Name & Address

Applicants Name: First Middle Last Date of Birth         Social Security #   Present Address:  Own Or Rent Own Rent # of Years  Address   City           State    Zip Email Address Home Phone   Cell Phone      Co-Applicants or Spouses Name: First Middle Last Date of Birth         Social Security #   Present Address:  Own Or Rent Own Rent Same As Applicant # of Years  Address   City           State    Zip Email Address Home Phone   Cell Phone

Employment Information

Applicants Current Employer: Company Name Address  City          State    Zip Phone   Income $   Hour Month Year Co-Applicants Current Employer: Company Name Address   City           State    Zip Phone   Income $   Hour Month Year

Other Useful Information

My Credit Is: Excellent Good Fair Poor Down Payment (if any): $ Debit To Income Ratio: % Do you authorize us to pull your credit report so we can begin your qualification process?   Yes  No Additional Comments::