FIDELTIY MORTGAGE, INC
1544 West 2nd Street, Suite 102
P. O. Box 1055
Gulf Shores, AL. 36547
Office: 251-968-4412
FAX: 251-968-4422
PREQUALIFICATION FORM
PRINT FORM
BORROWER'S NAME: ______________________________
CO-BORROWER'S NAME:______________________________
ADDRESS:_____________________________________________
CITY:_______________ STATE:_______________ ZIP:_______________
TELEPHONE:_______________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * FIRST MORTGAGE INFORMATION
WHAT IS YOUR INTEREST RATE?:_______________
WHO IS YOUR MORTGAGE WITH?:_____________________________________________
WHAT IS YOUR PRESENT BALANCE?:_______________
WHAT IS THE MONTHLY PAYMENT ON THIS MORTGAGE?:_______________
DOES THAT INCLUDE TAXES AND INSURANCE?:_______________
WHAT YEAR DID YOU TAKE OUT THIS LOAN?:_______________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SECOND MORTGAGE INFORMATION
WHAT IS YOUR INTEREST RATE?:_______________
(put none if no 2nd mortgage)
WHO IS YOUR 2ND MORTGAGE WITH?:__________________________________________
WHAT IS YOUR 2ND MORTGAGE PRESENT BALANCE?:_______________
WHAT IS THE MONTHLY PAYMENT ON THIS MORTGAGE?:______________
WHAT YEAR DID YOU TAKE OUT THIS LOAN?:_______________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * DEBT INFORMATION
IF YOU WERE TO TOTAL YOUR CREDIT CARDS, HOW MUCH WOULD YOUR TOTAL CREDIT CARD DEBT BE?:____________________
HOW MUCH WOULD YOUR TOTAL CREDIT CARD PAYMENT BE?:_______________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * GENERAL INFORMATION
HAVE YOU EVER FILED BANKRUPTCY?:_______________
ON A SCALE OF 1-10, 10 BEING BEST, HOW DO YOU RATE YOUR CREDIT?:________________
WHAT IS YOUR MONTHLY HOUSEHOLD INCOME?:_______________
ARE YOU SELF-EMPLOYED?:_______________
WHAT IS YOUR WORK NUMBER:?_______________
DO YOU HAVE ANY OTHER SOURCE OF VERIFIABLE INCOME? PLEASE GIVE AMOUNT AND SOURCE OF INCOME?:_____________________________________________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT INFORMATION
(NOTE - if you do not feel comfortable entering your Social Security number on this form, you may leave these blank, and our loan officer will call you to collect this information)
WHAT IS YOUR SOCIAL SECURITY NUMBER?:_______________
WHAT IS YOUR SPOUSE'S SOCIAL SECURITY NUMBER?:_______________
I CERTIFY THAT I AM THE PERSON NAMED ABOVE:______________________________
I CERTIFY THAT I AM THE CO-BORROWER NAMED ABOVE:______________________________
I GIVE MY PERMISSION FOR YOU TO RUN OUR CREDIT REPORT: Yes:____ No:____
WHAT TYPE OF LOAN DO YOU WANT?:
(Fixed or Adjustable, 1st or 2nd, amount, etc. Give us as much information as possible about your requirements
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