Mortgage / Home Equity Pre-Qualification Request

Required Information

Farmers Bank & Trust primarily serves the Central Kansas and Kansas City areas. If you are uncertain whether the property you wish to purchase falls within our lending territory, please feel free to call one of our lending professionals at 1-877-798-2411.

Loan Information

Are you applying as an individual or with a co-borrower?

Borrower Information

How would you prefer to be contacted?

Borrower Employment

Co-Borrower Information

How would you prefer to be contacted?

Co-Borrower Employment


I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Farmers Bank & Trust to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize Farmers Bank & Trust to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I agree to provide any further information the Bank might require to process my application.