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Pre-Qualification Form

NMLS Mortgage License # 267143


    APPLICANT INFORMATION:

    First Name*

    Middle Name

    Last Name*

    Address*

    City*

    State*

    Zip*

    Phone*

    Email*

    Birthdate*

    Social Security #*

    Gender*

    Marital Status*

    Current Employer*

    Time On Job

    Income*
    $ (Gross) Per Month

    Other Income
    $ Per Month

    Source Of Other Income

    Are You a U.S. Citizen? YesNo

    Are You Permanent Resident Alien? YesNo

    Bankruptcy in Last 10 Years? YesNo

    Do you have any Judgments, Repossessions, Liens, Child Support? Describe:


    CO-APPLICANT INFORMATION:

    First Name

    Middle Name

    Last Name

    Address

    City

    State

    Zip

    Phone

    Email

    Birthdate

    Social Security #

    Gender

    Marital Status

    Current Employer

    Time On Job

    Income
    $ (Gross) Per Month

    Other Income
    $ Per Month

    Source Of Other Income

    Are You a U.S. Citizen? YesNo

    Are You Permanent Resident Alien? YesNo

    Bankruptcy in Last 10 Years? YesNo

    Do you have any Judgments, Repossessions, Liens, Child Support? Describe:


    HOME INFORMATION:

    Agent Name

    Location of Property

    City

    State

    Zip

    Park

    Purchase Price
    $

    How much do you have available for a down payment?*
    $


    APPLICANT SIGNATURE:

    Applicant Signature*

    Date*

    CO-APPLICANT SIGNATURE:

    Co-Applicant Signature

    Date

    PLEASE NOTE: This pre-qualification form is to give the applicant(s) an educated idea on whether they can qualify for a loan or how much they might qualify for. It is no way a loan approval or commitment for a loan. By submitting this information via the website, email, phone, or in person, you are authorizing NW HomeBuyers to pull a copy of your credit report from a major credit bureau in order to determine eligibility. To get an actual loan commitment, the applicant(s) must fill out a full credit application and submit it to our Loan Originator along with a copy of the Purchase Agreement of the home they wish to purchase.