North San Antonio Realty

NORTH SAN ANTONIO REALTY

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home \ buying \ financing \ prequalification
PREQUALIFICATION APPLICATION
*North San Antonio Realty is not a licensed mortgage broker. We will forward the information contained in this form to a licensed mortgage company.
PROPERTY INFORMATION
Status of home purchase:	I am looking for a property. I have an offer pending. I am under contract.
Will this be your primary residence?:	Yes No
How much would you like to put down?:
Down payment source:
Loan term:
Have you owned property in the past 3 years?:	Yes No
If yes, was it a:	Primary Residence Second Home Investment Property
Names to be placed on Title:
Is this property a:	Single residence Other (duplex, fourplex, etc.)
Desired Monthly Payment:
I plan to purchase in: (months)
CONTACT INFORMATION
	BORROWER	COBORROWER
First Name:
Last Name:
SSN#: (555-55-5555)
Birthday: (01/01/01)
Phone: (Home) (555-555-5555)
Phone: (Work) (555-555-5555)
Email:
Street Address:
City:
State:
Zip Code:
Time at current address: (years)
Your age:
EMPLOYMENT INFORMATION
	BORROWER	COBORROWER
Employer Name:
Job Title:
Years with company:	Yrs Mos	Yrs Mos
Monthly Gross Income:
Overtime:* (2 year avg.)
Bonus or Commission:* (2 year avg.)
Other Income: (Only if being used to qualify)
Add all of the above sources of income up and place total monthly income in the following textbox.
Total Income:
ASSETS AVAILABLE
	BORROWER	COBORROWER
Checking Account:
Savings Account:
Stocks & Bonds:
Equity in Real Estate:
Retirement Accounts:
Gift Funds: (If applicable)
Add all of the above assets up and place total assets in the following textbox.
Total Assets:
LIABILITIES
	BORROWER	COBORROWER
Monthly payments or installment/revolving accounts that will not be paid off in < 10 months.
Car Loans:
Bank Loans:
Student Loans:
Child Support/Alimony:
Other Loans:


Add all of the above liabilities up and place total monthly liabilities in the following textbox.
Total Liabilities:
Current Housing Expense:	Own Rent
If you own, do you plan to:	Sell Lease
	BORROWER	COBORROWER
Are you a U.S. Citizen?:	Yes No	Yes No
Have you filed for bankruptcy in the last 4 years?:	Yes No	Yes No
Have you owned property which was foreclosed in the past 4 years?:	Yes No	Yes No
Comments:
Please type "Yes" here to authorize a credit report request.
We will never sell, lend or rent or in any way let anyone else see your information ever. Your information contained in this form is being sent through a secure SSL connection.

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