Thank you for visiting our web site! Please use this form to submit your loan application electronically.

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Pre-QUALIFICATION FORM


Applicant First Name
  
Applicant Last Name

Home Phone

Work Phone
SSN

E-Mail

Co-Applicant First Name
  
Co-Applicant Last Name

Home Phone

Work Phone

SSN

E-Mail

Address

City

State

Zip

PREVIOUS ADDRESS (IF LESS THAN 2 YEARS AT PRESENT

Address

City


State

Zip


EMPLOYMENT INFORMATION



1.
Applicant Employer

Position

Years on Job
Years in same field

Monthly Income Amt.
$
  Co-Applicant Employer

Position

Years on Job
Years in same field


Monthly Income Amt.
$
3. Other Income Applicant
Monthly Income Amt
$
4. Other Income Co-Applicant

$
     
Total Gross Monthly Income: $


CURRENT DEBT AND LIABILITY INFO

(car payment,credit cards, student loans,alimony, child support, etc.)

 

  Housing Expenses:


        Monthly Pymt
1. 1st Mortgage     $
2. Property Taxes     $
3. Home Owners Insurance     $
Total Monthly Housing Expenses:     $


   Monthly Debts:


  Type of Liability

Cur. Bal.
Monthly Pymt
1. $ $
2. $ $
3. $ $
4. $ $
5. $ $
6. $ $
7. $ $
     


   Type of Loan Requested:


Loan Type: 
Residence Type: 
Property Type: 
Loan Type: 
Estimated Loan Amount:  $
 

The best time to contact me 
 would be: 
around:  :
by: 
   
Comments: 

* "I authorize Summit Lending Group and/or assigns to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be the equivalent of the original."

 

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