Mortgage Loan Prequalification Application You will need Adobe Acrobat Reader to submit this form. If you do not have Adobe, you can click here to download a free copy. NBG is committed to protecting your privacy. The information which you provide will be used to provide you with the best mortgage product for your individual situation. Your information is transmitted securely to our mortgage lenders. Access to your information is restricted to persons who need that information to provide products or services to you. Required fields are marked with an asterisk.* Preferred Loan Officer: (Leave blank if no preference) General Loan Information Sales Price: $ Loan Amount: $ Property Property Property Zip: *Property Type: *Occupancy Type: *Loan Purpose: If Other, Explain: Application Type: Joint Individual Information *Last Name: *First Name: Middle Initial: *Social Security #: Marital Status:
Date of Birth: Email Address: Years in School: Number of Dependents: Age of Dependents: (Example: 8 10 12) Current Address: How Long: Years Months Years Months Ownership: *Rent/Mortgage Payment: Per Month Per Month If at current address for less than two years, please fill out previous address information below: Previous Address: How Long: Years Months Years Months Ownership: *Home Phone: *Work Phone: Work Extension: Mobile/Pager: *Email Address:
Employment Information Employer Name: Employer Address: Title: Gross Monthly Income: $ Self-Employed? Years With Current: Years Months Years Months Years in Same Line of Work: If at current employer for less than two years, please fill out previous employer information below: Previous Employer Name: Employer Address: Title: Gross Monthly Income: $ Self-Employed? Years With Current:
Assets Institution Name(s) Total Balance Checking: $ Savings: $ Stocks/Bonds: $ Other Assets: $ Real Estate Owned Please specify any real estate owned (up to 3). Include your current residence and its status if you still own it. Property Address One Street Name: Present Market Value: $ Mortgage/Lien Amounts: $ Gross Rental Income: $ Zip: Mortgage Payments: $ Property Status: Insurance/Taxes/Misc: $ Type of Property: Net Rental Income: $ Current Residence: Yes Investment Property: Yes Second Home: Yes Property Address Two Street Name: Present Market Value: $ Mortgage/Lien Amounts: $ Gross Rental Income: $ Zip: Mortgage Payments: $ Property Status: Insurance/Taxes/Misc: $ Type of Property: Net Rental Income: $ Current Residence: Yes Investment Property: Yes Second Home: Yes
Property Address Three Street Name: Present Market Value: $ Mortgage/Lien Amounts: $ Gross Rental Income: $ Zip: Mortgage Payments: $ Property Status: Insurance/Taxes/Misc: $ Type of Property: Net Rental Income: $ Current Residence: Yes Investment Property: Yes Second Home: Yes Standard Declarations Co- Please answer the following for both applicants *a. Are there any outstanding judgments against you? Yes Yes *b. Have you declared bankruptcy within the last 7 years? Yes Yes *c. Have you had property foreclosed upon in the last 7 years? Yes Yes *d. Are you a party to a lawsuit? Yes Yes *e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes Yes *f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? *g. Are you obligated to pay alimony, child support or separate maintenance? Yes Yes Yes Yes *h. Is any part of the down payment borrowed? Yes Yes *i. Are you the co-maker or endorser on a note? Yes Yes *j. Are you a U.S. citizen? Yes Yes *k. Are you a permanent resident alien? Yes Yes *l. Do you intend to occupy the property as your primary residence? *m. Have you had an ownership interest in a property in the last 3 years? Yes Yes Yes Yes
If you answered "Yes" to any question a through i, please describe the situation involved: If you answered "Yes" to question m, please complete the following: 1. What type of property did you own? 2. How did you hold title to the home? Government Monitoring The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.) *Ethnicity *Race/National Origin *Gender *Ethnicity *Race/National Origin *Gender Comments Special instructions to your loan officer:
By submitting this form, you give the loan officer permission to order your credit report. After reviewing your application and your credit record, a Loan Officer will follow-up with you to review your home loan and rate lock options. Once contacted, your home loan process will begin!