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Borrower * Required items for pre-approval
First Name *
Last Name *
Social Security Number *
Email Address *
Phone Number *
Work Number *
Address *
City *
State / Zip Code *
Birthdate   
Do you rent or own?
How long have you rented/owned?
Former Address (if less than 2 years at current)
   
Co-Borrower Please complete if applicable.
First Name *
Last Name *
Social Security Number *
Email Address *
Phone Number *
Work Number *
Address *
City *
State / Zip Code *
   
Loan Request
Amount Requested *
Type of Loan * Purchase   Refinance
   
Property Information
Estimated Market Value *
Purchase Price
Type of Property * Primary Residence   Second Home
  Rental Investment Other (Explain)
   
   
Current Mortgage Information
Mortgage Balance
Amount Rate Monthly Payments
First
Second
Other
Annual Taxes (Refinance Only)
Terms (30yr, 15yr) Fixed/Adjustable
Rate
Annual Insurance Premium
Taxes & Insurance Escrowed Yes No
   
Current Employment Information
 
Borrower Co-Borrower
Are you self employed? *
Yes  No Yes  No
Gross Monthly Income *
Time at Current Job *
Yrs.  Mos. Yrs.  Mos.
Employer Name
Position
Prior Employment Information (If less than two years)
Gross Monthly Income *
Time at Job *
Yrs.  Mos. Yrs.  Mos.
Former Employer Name
Rate Your Own Credit
Best A B C D E Worst
   
   
By submitting this information, you authorize A-1 Any Credit Mortgage to obtain credit reports for all individuals on this application.


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