Mortgage Loan Pre-Qualification Application

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Mortgage Loan Pre-Qualification Application

*Indicates a Required Field

This short and simple pre-qualification application will help get you started in the right direction. Simply fill it out and return to any location or submit online. We'll contact you as soon as we have completed your pre-qualification. Please note this is not a full mortgage application and does not commit you to a mortgage in any way.

Borrower Information

*Name  
*Date of Birth
*Current Address
*City
*State/Province   *Zip/Postal Code
Purpose of Loan
*Do you currently Own   Rent
Estimated Home Value
*Monthly Payment
*Rent Payment
*Home Phone  
Cell Phone  
Social Security Number  
*E-mail  
*Employer Name  
Employer Street  
Employer City  
Employer State  Employer Zip/Postal Code  
Business Phone  
*Years There  
Previous Employer if less than 2 years  
Previous Employer Name  
Previous Employer Street  
Previous Employer City  
Previous Employer State  Employer Zip/Postal Code  
Previous Business Phone  
Years There  
Annual Gross Income  
Self Employed Yes      No  
Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements).  
Other Income (shown as annual gross)  
*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.  
     
*Do you have a Co-Borrower?  Yes  No

Co-Borrower Information
 
*Name  
*Date of Birth
*Current Address
*City
*State/Province   *Zip/Postal Code
Purpose of Loan
*Do you currently Own   Rent
Estimated Home Value
*Monthly Payment
*Rent Payment
*Home Phone  
Cell Phone  
Social Security Number  
*E-mail  
*Employer Name  
Employer Street  
Employer City  
Employer State  Employer Zip/Postal Code  
Business Phone  
*Years There  
Current Employer less than 2 years  
Previous Employer Name  
Previous Employer Street  
Previous Employer City  
Previous Employer State  Employer Zip/Postal Code  
Previous Business Phone  
Years There  
Annual Gross Income  
Self Employed  
Self Employed CoBorrower(s) may be required to provide additional documentation such as tax returns and financial statements).  
Other Income (shown as annual gross)  
*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.  
     
Loan Amount  
Referred by  
Preferred Mortgage Officer  
Best Method of Contact
How did you hear about us?  
By submitting this pre-qualification application, I/We understand and authorize you (Lender) to obtain a credit report from a credit reporting agency for the purpose of pre-qualifying you for a mortgage loan.  
     
 
      
 

 

Please submit online or print out the application and mail to:
Bartlett Mortgage
2860 Stage Village Cove
Bartlett, TN 38134