Pre-Qualification “Quick App”

* Required Fields

Originator
Borrower Name		Married	Yes No
Co-Borrower Name		Married	Yes No
Current Address
	Rent / Own Per mo.	How Long at this address	Yr Mo

If less than two years at current address
Previous Address			Yr Mo

Home Phone		Cell Phone
Email

Borrower’s Soc. Sec. #		Date of Birth
Borrower’s Employer/Title		Work Phone
Hourly Rate of income/or salary $		Time at job	Yr Mo

If less than two years at current employer
Previous Employer/Title		Time at job	Yr Mo

If less than two years at previous employers
Previous Employer/Title		Time at job	Yr Mo

Co-Borrower’s Soc. Sec.#		Date of Birth
Co-Borrower’s Employer/Title		Work Phone
Hourly Rate of income/or salary $		Time at job	Yr Mo

If less than two years at previous employers
Previous Employer/Title		Time at job	Yr Mo

If less than two years at current employer
Previous Employer/Title		Time at job	Yr Mo

Loan Program: FHA 3.5% down / Conventional 5% to 20% down
Source of down payment (bank name)
Purchase Price $		Will you receive a gift?	Yes No	if yes, amount $
Do you have any other income received?		Yes No	if yes, source/amount
Do you have any outstanding judgments or liens?		Yes No
Have you had a foreclosure in the past 10 years?		Yes No
Have you declared bankruptcy in the past 7 years?		Yes No
Obligated to pay child support or alimony?		Yes No	if yes, amount
Do you own any other Real Estate?		Yes No	if yes, address(es)/value

I authorize Community National Bank and/or its assigns to obtain my/our credit report and/or additional information to determine credit worthiness. The information that is obtained is strictly confidential. A photocopy or facsimile of this authorization may be deemed to be the equivalent of the original. The Pre-Qualification is not a loan application. Your loan application will begin upon receipt of a signed 1003 application.

Borrower	Date	Co-Borrower	Date

Documents needed during the loan application process:

Most Recent Paystubs
Most Recent Bank Statement
Most Recent two years W2’s and Tax Returns all forms

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