Pre-qualification Application

*fields that must be completed

Reason for your loan
Reason for your loan:	PurchaseRefinanceEquity LineOther
Down Payment (if Purchase):
Down Payment From:	SavingsSale of HomeGift
Property Information
Property location and how you intend to use it :	Primary ResidenceSecond HomeInvestment Property
Term you prefer:
Property City:
Property State
Are you currently working with an agent?
Agent you're working with :
Contact Information
First Name:
Last Name:
First Name Co-Borrower:
Last Name Co-Borrower:
Social Security Number:	(Social Security Number)
Social Security Number Co-Borrower:
Email:	(E-mail)
Email Co-Borrower:
Home Phone:
Home Phone Co-Borrower:
Work Phone:
Work Phone Co-Borrower:
Fax Number:
Fax Number Co-Borrower:
Street Address:
Street Address Co-Borrower:
City:
City Co-Borrower:
State:
State Co-Borrower:
Zip:
Zip Co-Borrower:
How long at this Address (since month / year):
How long at this Address (since month / year) Co-Borrower:
Own or Rent:
Own or Rent Co-Borrower:
Married Status:
Married Status Co-Borrower:
Employment Information
Employer:
Employer Co-Borrower:
Start Date:	(Date m/d/yyyy)
Start Date Co-Borrower:	(Date m/d/yyyy)
Gross Monthly Income:
Gross Monthly Income Co-Borrower:
Previous Employer:
Previous Employer Co-Borrower:
Date Employed:	(Date m/d/yyyy)
Date Employed Co-Borrower:	(Date m/d/yyyy)
Gross Monthly Income:
Gross Monthly Income Co-Borrower:
Financial Information
Other Income Souce:
Other Income Souce Co-Borrower:
Recieved How Long:
Recieved How Long Co-Borrower:
Gross Monthly Income:
Gross Monthly Income Co-Borrower:
Checking Balance:
Checking Balance Co-Borrower:
Savings:
Savings Co-Borrower:
Certificate of Deposit:
Certificate of Deposit Co-Borrower:
Stocks / Bonds:
Stocks / Bonds Co-Borrower:
Revolving Credit Balance:
Total Montly Payment:
Installment Debt Balance:
Total Montly Payment:
For Refinance loans only, information on your existing mortgage(s)
Refinance Type:	FHAVAConventional
Refinance Lender:
Monthly Payment:
Balance:
Property Value:
Account Number:
Second Loan / Mortgage Information
Second Mortgage Lender:
Second Mortgage Payemnt:
Second Mortgage Balance:
Second Mortgage Account Number:
Do you currently pay Private Mortgage Insurance?	(Check if Yes)
If Yes, PMI Amount:
Please read and agree to the following before you click on "Submit"
If otherwise allowed by state law, information contained in this worksheet may be communicated to affiliates of this company for use in soliciting you for other financial products. If you do not wish this information to be made available to our affiliates, please enter your initials in the space provided:
Borrower's Signature (Enter Name):
Co-Borrower's Signature (Enter Name):
Borrower's Signature Date:	(Date m/d/yyyy)
Co-Borrower's Signature Date:	(Date m/d/yyyy)

RENTALS • CLIENT LOGIN • AGENT LOGIN
Oyster Point in Newport News 11801 Canon Boulevard, Suite 100 Newport News, VA 23606 (757) 873-2707		(800) 825-2707 Licensed in Virginia		New Town Williamsburg 5350 Discovery Park Blvd. Williamsburg, VA 23188 (757) 645-4106

Areas we serve: Fort Eustis, Fort Monroe, Gloucester, Hampton, Isle of Wight, James City County, Langley Air Force Base, Naval Weapons Station, Newport News, Poquoson, Smithfield, Suffolk, West Point, Williamsburg, Yorktown, Yorktown Coast Guard Station

Our Specialties: residential real estate, buyer brokerage, commercial real estate, luxury homes, lots and land, new construction, condos, townhomes, waterfront, acreage, property management, foreclosures, short sales, investor services.

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