How did you find us?
Please fill out the information in this form to apply for our pre-qualification service. The form may be sent to us by using the buttons at the bottom of the page. Thank you for using our on-line pre-qualification service!

 

Basic Data & Residence History
   
  Primary Borrower  
Social Security #    
Phone:   Home      
  Business    
  Email    
Address   Apt#    
City:      
State:    
    Zip:    
                                   
  Previous Residence: (if less than 2 years)    
Address   Apt#    
City:      
State: Zip:  
                       
Co-Borrower Information
   
Co-Borrower:    
Social Security #      
  Address: Apt:    
City:    
State: Zip:    
                           
Loan Objective
   
  Objective:   Primary Residence purchase    
   
  Refinance    
   
  Investment purchase    
   
  If purchase loan, has property been located?   Yes   No    
     
Sales Price:   $      
                                   
Employment Data - Primary Borrower
  Current Employer:    
How Long:    
If Self Employed:  
Position:  
Address:   Apt:  
 
City:    
State: Zip:  
Income: Monthly Salary:  
  Bonus:  
Commission:  
               
Previous Employer: (If less than two years)
  Previous Employer:    
Position:  
Address: Apt:  
City:    
State: Zip:  
Income: Monthly Salary:  
  Bonus:  
  Commission:  
                   
Employment Data - Co-Borrower
  Current Employer:    
How Long:    
If Self Employed:  
Position:  
Address:   Apt:  
 
City:    
State: Zip:  
Income: Monthly Salary:  
  Bonus:  
Commission:  
               
Financial Data
  Source of funds to close:      
  (Down Payment, Closing Costs and Prepaids):  
 
Approximate total of all savings:          
Approximate Monthly Debts:  
Revolving (Credit Cards, etc.):    
Car Loans:    
Other Loans:  
Child Support:  
Other Monthly payments:  
Derogatory Credit:   Bankruptcy? Date:  
 
    Foreclosure? Date:  
 
  Collections? Date:  
 
                         
Explanation of any incorrect information you are aware exists in your credit files:
Comments:
Please provide us with any helpful information:
  Refinance Only?      
Current Market Value of Property:  
Annual Taxes:  
Annual Insurance:    
Current Loan Balance:  
Current Interest:  
             
Disclosure Agreement

Yes I read and state to all consumer reporting agencies and to all creditors of the undersigned please be advised that the undersigned, and each of them, has made application for PRE-QUALIFICATION with Estate Realty CORPORATION requesting a potential extension of credit to the undersigned. Therefore, the undersigned, and each of them, hereby authorizes you to provide credit report and/or a disclosure to Lender or any agent or balance. The undersigned also authorizes you to disclose your credit experiences with the undersigned to Lender or related third parties.

 

I agree.
Click on "I AGREE" before submitting!

 
 
 

 

For more information call Darden McGlothlin, licensed broker (214) 390-5417