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: $
