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PreQualification Form
- 1. Andrew Biro Sr MortgageBanker NMLS ID #742327 Direct: (314) 221-0292 Fax: (314) 375-5182 abiro@flat-branch.com Pre-Qualification Application Please Fax To: 314-375-5182 Attention: Andrew Biro Loan Information ============================================================= Sale Price Loan Amount Funds Available for Of New Property $ _____________Requested $ _____________ Down Payment & Closing Costs $ _______________ General ===================================================================== Borrower ___________________________________ D.O.B. _________ SSN# ________________ Veteran: Yes / No Address ___________________________________________ City ____________________ State _____ Zip __________ ___Rent ___Own How Long at this address ________________ Monthly Rent / Mortgage Payment $ ___________ Home Phone _________________ Cell Phone _________________ E-Mail ____________________________________ Co- Borrower ________________________________ D.O.B. _________ SSN# ________________ Veteran: Yes / No Address ___________________________________________ City ____________________ State _____ Zip __________ ___Rent ___Own How Long at this address ________________ Monthly Rent / Mortgage Payment $ ___________ Home Phone _________________ Cell Phone _________________ E-Mail ____________________________________ Income ===================================================================== Borrower’s Employer ___________________________________________ Position ___________________________ Employer Address:___________________________________________________________________________________ Work Phone ____________________________ Length of Employment _________________ Self Employed Yes / No Monthly Gross Income $ _________________ Child Support / Alimony, etc.* ______________ Amount $ _________ Co-Borrower’s Employer ___________________________________________ Position ________________________ Employer Address:___________________________________________________________________________________ Work Phone ____________________________ Length of Employment _________________ Self Employed Yes / No Monthly Gross Income $ _________________ Child Support / Alimony, etc.* ______________ Amount $ _________ * other sources of income need not be revealed if you do not wish to have it considered for repaying a loan. Debts ======================================================================= Name of Creditor Mo. Payment Name of Creditor Mo. Payment Auto ____________________________ $ ____________ Student Loan _____________________ $ ____________ Auto ____________________________ $ ____________ Other ___________________________ $ ____________ Credit Card ______________________ $ ____________ Other ___________________________ $ ____________ Credit Card ______________________ $ ____________ Other ___________________________ $ ____________ Have you filed for Bankruptcy in the past (7) years ? Yes / No If Yes, When __________________________________ I / We certify that the information provided above is accurate to the best of my / our knowledge. I fully understand that the credit report will be for internal use by Flat Branch Home Loans. I / We authorize Flat Brnahc Home Loans to obtain a credit report. _______________________ _______________________ ___________________ ___________________________ Borrower Signature Date Co-Borrower Signature Date Flat Branch Home Loans 16150 Main Circle Dr., Suite 220 Chesterfield, MO 63017 Direct: (314) 221-0292 Fax: (314) 375-5182 www.STLHomeFinancing.com Email: abiro@flat-branch.com