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  If you wish to be pre-qualified for a mortgage, please provide the information requested. When you are done please click on the submit button. If you do not have the information to complete a particular part of this application you may leave it blank.

* Required Fields

 

Name:
How did you find this Web site? 
Purpose of Loan  
Property will be
No. of Units
Year Built
Street*  
State*, City*,  Zip*  
Property Value*  
Loan amount*  
Current First Mortgage Balance*  
Current First Mortgage Payment*  
Current First Mortgage Interest Rate*  
Current Second Mortgage Balance
Current Second Mortgage Payment
Current Second Mortgage Interest Rate
No. of Years*  
Loan Type

Conventional
V.A.
Other

Interest Rate Expected*  


Please provide the following current information:

Borrower
Name*  
Street Address*  
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone*  
E-mail*
Date of Birth
Social Security Number*  NOTE: No dashes or spaces
Co-Borrower (if any)
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
Date of Birth
Social Security Number
 

Borrower

  

Co-Borrower (if any)
Rent or Own Own   Rent Own    Rent
No. of years
Years of employment at current job
Name of employer* *
Address of employer* *
State*, City*,  Zip* *
Years employed in current line of work/profession
Are you self-employed? Yes No Yes No
Total Monthly Payments on Debt*
Funds available for down payment, closing costs and reserves**  
** = Estimated

Monthly Income Information 

Borrower Co-Borrower (if any)
Base Empl. Income***
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income
Other****

***Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements. 

****Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

Please enter any comments or questions here:


If you have any problems just hit the back button on your browser.

If you have any problem with this form please contact the main office 1-800-366-7684 and we will be happy to take your application over the phone. 

Copyright ©2000 First American Funding, Inc.® All rights reserved.
Revised: September 18, 2006