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Mortgage / Home Equity Pre-Qualification Request

Required Information

Loan Information

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

Borrower Information

How would you prefer to be contacted?

Borrower Employment

Borrower Employment Status

Co-Borrower Information

How would you prefer to be contacted?

Co-Borrower Employment

Co-Borrower Employment Status

Endorsement

I certify that all information provided by me herein, including attachment(s) is true, correct and complete. I authorize Logan Bank and 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 agree to provide any further information Logan Bank and Trust might require to process my application.