Mortgage Inquiry Application

Applicant

• APPLICANT(S). Check one of the following boxes. You may apply for individual credit in your name only, joint credit in your name and the name of your spouse or joint credit in your name and the name(s) of other joint applicant(s).

• Individual Credit. Provide the applicant and non-applicant spouse information.
• Joint Credit with spouse as joint applicant. Provide the applicant and applicant spouse information.
• Joint Credit with as joint Applicant who is not your spouse.
  Each joint applicant must complete a separate application as if applying for individual credit and submit them together, including complete information on non-applicant spouse.
• Marital Status* Unmarried Married Legally Seperated

Contact Information

• First Name*
• M I
• Last Name*
• Suffix
• Home Phone*
• Cell Phone*
• Email*

Personal Information

• Date of Birth*
• SSN*

Current Address

• Address*
• City*
• State* -- Select A State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip*
• Years at Current Address*

Additional Information

• Credit Purpose
• Lending Officer Requested* Lynn Schaufenbuel Ryan Hackman Melissa Jackson No Preference

Employment

Current Employer

• Name*
• Address*
• City*
• State* -- Select A State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Zip*
• Position or Title*
• Start Date*

Income

Monthly Income

• Alimony, child support, and separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying an obligation.
• Amount*
• Source*

  • Please describe from whom, or the source of the income.

• Add

Submission

Authorize Submission

Checking the box below applies to the acknowledgment of the following statements:

• Everything that I/We have stated in this submission is correct to the best of my/our knowledge.
• I/We authorize the financial institution to obtain credit reports.
• I/We understand that this is not a loan application. This is a prequalification submission that will not tell me/us if I/we are approved or qualify for a loan. This prequalification submission will tell me/us whether I am/we are good loan candidate/s based upon a review of the basic information I/we provided in these screens. Being prequalified as a good candidate for a loan does not guaranty approval for a loan. To be approved for a loan, I/we must submit a complete loan application to the financial institution.