PRE - QUALIFICATION APPLICATION

FULL NAME:  
  BORROWER #1    
    
  BORROWER #2             
  HOME PHONE     
- -            CELL PHONE   - -    

EMAIL:    
CURRENT ADDRESS:
  STREET   

  CITY        STATE      ZIP           

  HOW LONG?           MONTHLY PAYMENT  $

SOCIAL SECURITY
  # 1 
- -    DOB   / /
  # 2   - -    DOB   / /

EMPLOYMENT
  BORROWER # 1                                                                                         
       CURRENT EMPLOYER 

      STREET   
       CITY 
  STATE    ZIP
        HOW LONG       POSITION
       GROSS MONTHLY INCOME $
(BEFORE TAXES)

  BORROWER #2
       CURRENT EMPLOYER 
      STREET   
       CITY 
  STATE    ZIP
        HOW LONG       POSITION
       GROSS MONTHLY INCOME $
(BEFORE TAXES)
        

FINANCIAL RECORDS
  CHECKING #1     AMOUNT $  
    BANK NAME  
   PHONE #  -  -

   SAVINGS #1     AMOUNT $  
  BANK NAME  
   PHONE #  -  -

  CHECKING #2     AMOUNT $  
    BANK NAME  
   PHONE #  -  -

  SAVINGS #2      AMOUNT $  
  BANK NAME  
   PHONE #  -  -

RETIREMENT, INVESTMENT, 401K , ETC.
  COMBINED BALANCE  $
  CHILD SUPPORT PAYMENT $ RECEIVE $

SIGNATURE #1          DATE   / /

SIGNATURE #2         DATE   / /


INFORMATION WILL BE THE BASIS FOR AFFILIATED BANK TO PROCESS YOUR MORTGAGE LOAN.
DEPENDING ON WORKLOAD CSI LENDING MAY HAVE AN ANSWER IN AS SHORT AS AN HOUR.
BY SUBMITTING THE APPLICATION YOU GIVE CSI LENDING PERMISSION TO PULL CREDIT
REPORTS FROM ALL 3 CREDIT BUREAUS. YOUR FINAL APPROVAL IS SUBJECT TO CSI
LENDING VERIFYING ALL INFORMATION IS ACCURATE.