ONLINE LOAN PREQUALIFICATION APPLICATION
Please Provide The Following Information
Social Security:
Birthdate:
Borrower:
Current Address
Current Address
Purchase Price Or Appraised Value: $
Co-Borrower:
Address:
City:
State:
Zip Code:
Address:
City:
State:
Zip Code:
Down Payment: $
Borrower
Borrower:
Self-Employed:
Do You Intend To Occupy The Property As Your Primary Residence?
Property Information
Employment - Borrower
Previous Address
Previous Address
Current Employer
Current Income - Gross Monthly
Address:
City:
State:
Zip Code:
Base: $
Commission: $
Co-Borrower:
Address:
Employer:
Address:
City:
State:
Zip Code:
Previous Employer
Previous Income - Gross Monthly
Base: $
Commission: $
Employer:
Address:
City:
State:
Zip Code:
Self-Employed:
Employment - Co-Borrower
Loan Information
Current Employer
Current Income - Gross Monthly
Base: $
Commission: $
Employer:
Address:
City:
State:
Loan Purpose:
Zip Code:
Previous Employer
Previous Income - Gross Monthly
Base: $
Commission: $
Employer:
Position:
How Long:
Work Phone:
Position:
Years In Profession:
How Long:
Work Phone:
Position:
How Long:
Work Phone:
Position:
Years In Profession:
How Long:
Address:
City:
State:
Legal Status:
Zip Code:
City:
State:
Zip Code:
Email Address:
Social Security:
Birthdate:
Legal Status:
Home Phone:
Work Phone:
First Name:
Cell Phone:
Last Name:
Home Phone:
First Name:
Cell Phone:
Last Name:
FEDERAL FAIR LENDING INFORMATION
The following information is requested by the Federal Government for certain types
of loans related to a dwelling, in order to monitor the Lender's compliance with
equal credit opportunity, fair housing, and home mortgage disclosure laws. You are
not required to furnish this information, but are encouraged to do so. The law provides
that a Lender may not discriminate on the basis of this information or whether you
choose to furnish it. However, if you choose not to furnish this information and
you have made this application in person, under Federal regulations, the Lender
is required to note race or national origin and sex on the basis of visual observation
or surname. If you do not wish to furnish the information, please make the appropriate
selections in the fields below.
Loan Type:
How Long:
How Long:
Loan Officer:
Property Use:
Property Type:
AUTHORIZATION
By Selecting YES below, I the Borrower, and if applicable, I the Co-Borrower authorize
Texas Heritage Mortgage to access my credit report for purposes of obtaining a home
loan. I understand this is not a commitment to lend by Texas Heritage Mortgage
and that all information provided is accurate to the best of my knowledge.
Borrower:
Co-Borrower:
SUBMISSION
That's It! When you press the SUBMIT button, the information you provided
will be securely transmitted to your selected Loan Officer who will review it and
contact you shortly.
Please note that in the event there are errors in your submission, message(s) will
appear at the bottom of this page with instructions on how to make the necessary
corrections.
If for any reason you would like to clear this form and start again, simply press
the RESET button.
Thank you for your interest in Texas Heritage Mortgage.
Assets
Checking: $
Savings: $
401K: $
Money Market: $
Stocks/Bonds/CD: $
Seller Contributions: $
Other: $
