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. Version 1.5.06
Assets Checking: $ Savings: $     401K: $ Money Market: $     Stocks/Bonds/CD: $ Seller Contributions: $     Other: $   Comments