Mortgage Loan Prequalification Application
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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 City: Property State: Property Zip: *Property Type: *Occupancy Type: *Loan Purpose: If Other, Explain:Application Type: Joint Individual
Borrower Information
Primary Borrower Co-Borrower
Date of Birth: Email Address: Years in School: Number of Dependents: Age of Dependents: (Example: 8 10 12)
Primary Borrower Co-Borrower
Current Address: City: State: Zip Code:
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:
Primary Borrower Co-Borrower
Previous Address: City: State: Zip Code:
How Long: Years Months Years Months Ownership:
Primary Borrower Co-Borrower
Employment Information
Primary Borrower Co-Borrower
Employer Name: Employer Address: City: State: Zip Code: 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:
Primary Borrower Co-Borrower
Borrower 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: $
City: Mortgage/Lien Amounts: $
State: Gross Rental Income: $
Zip: Mortgage Payments: $
Property Status: Insurance/Taxes/Misc: $
Type of Property: Net Rental Income: $
Current Residence: Yes No Investment Property: Yes No Second Home: Yes No
Property Address Two
Street Name: Present Market Value: $
City: Mortgage/Lien Amounts: $
State: Gross Rental Income: $
Zip: Mortgage Payments: $
Property Status: Insurance/Taxes/Misc: $
Type of Property: Net Rental Income: $
Property Address Three
Street Name: Present Market Value: $
City: Mortgage/Lien Amounts: $
State: Gross Rental Income: $
Zip: Mortgage Payments: $
Property Status: Insurance/Taxes/Misc: $
Type of Property: Net Rental Income: $
Current Residence: Yes No Investment Property: Yes No Second Home: Yes No
Standard Declarations
Please answer the following for both applicants Borrower Co-Borrower
*a. Are there any outstanding judgments against you? Yes No Yes No *b. Have you declared bankruptcy within the last 7 years? Yes No Yes No *c. Have you had property foreclosed upon in the last 7 years? Yes No Yes No *d. Are you a party to a lawsuit? Yes No Yes No *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 No Yes No
*f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or
loan guarantee? Yes No Yes No
*g. Are you obligated to pay alimony, child support or separate
maintenance? Yes No Yes No
*h. Is any part of the down payment borrowed? Yes No Yes No *i. Are you the co-maker or endorser on a note? Yes No Yes No
*j. Are you a U.S. citizen? Yes No Yes No
*k. Are you a permanent resident alien? Yes No Yes No *l. Do you intend to occupy the property as your primary
residence? Yes No Yes No
*m. Have you had an ownership interest in a property in the last
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:
Borrower Co-Borrower
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.)
Borrower Co-Borrower
*Ethnicity *Ethnicity
*Race/National Origin *Race/National Origin
*Gender *Gender
Comments
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!