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Mortgage Pre-Qualification Application
Amount Requested*
Primary Applicant Information
Last Name*
First Name*
Mailing Address*
City*
State*
Zip*
Social Security Number*
Date of Birth*
(Ex. January 1, 1960, enter as 01011960)
Home Phone*
Member Number (if applicable)
Employment & Income Information
Employer Name
Employer Address
Work Phone
Years there
Annual Gross Income*
Additional Annual Income
Source of Additional Income
Funds Available for Downpayment and Closing Costs
Total Savings Available*
Assets in retirement account:
Gifts from Relatives
Residency
Do You Rent or Own a home? Own
How long at current residence
Current rent payment
Current Mortgage Payment
Selling current home? Yes No
Current Loans
Credit Cards
Car Loans(Lease)
Other Loans
Student Loan
Specify
Co-Applicant Information
Last Name
First Name
Mailing Address
City
State
Zip
Social Security Number
Date of Birth
Home Phone
Co-Applicant Employment & Income Information
Annual Gross Income
Co-Applicant Funds Available for Downpayment and Closing Costs
Total Savings Available
Co-Applicant Residency
Do You Rent or Own a home? Rent Own
Co-Applicant Current Loans
Comments
Please include any additional information or comments here:
E-mail Address *
By submitting this application, I/we authorize Mid-Hudson Valley Federal Credit Union to obtain my/our credit report(s).
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