PreQualification - 1st Priority Mortgage, Inc.

PreQualification

All fields with an asterisk (*) are required

How did you hear about us?

Region I am looking for a mortgage * Required

Borrower Information

First Name	*

Middle Initial

Last Name	*

Street	*

City	*

State	*

Zip Code	*

Preferred Phone	*

E-mail Address	*

S.S. #	*

Birth Date	*

Marital Status

Years at Location	Under Two Over Two *

Rent or Own	Own Rent

Assets and Income

Monthly Income	(Gross) *

Employer	*

Job Title	*

Years at Position	*

Assets	Checking/Savings Balance Market Value of Real Estate Other Assets

Co-Borrower Information

First Name

Middle Initial

Last Name

Street

City

State

Zip Code	Copy Borrower Address

Preferred Phone

E-mail Address

S.S. #

Birth Date

Marital Status

Years at Location	Under Two Over Two

Rent or Own	Own Rent

Assets and Income

Monthly Income

(Gross)

Employer

Job Title

Years at Position

Assets	Checking/Savings Balance Market Value of Real Estate Other Assets

Questions or Comments

I authorize 1st Priority Mortgage, Inc. to obtain my credit report from a credit reporting agency. I understand that I can obtain this report from a credit reporting agency in accordance with the Fair Credit Reporting Act. I also understand that if I have any questions, disputes or comments about the information on my credit report, I must contact the credit reporting agency to address these issues.

This authorization is not an application for credit, nor is it a request to 1st Priority Mortgage, Inc. to consider an application for credit.

If you ask us, we will inform you whether or not a consumer report was requested and, if we did request a consumer report, the name and address of the consumer reporting agency that furnished the report. (NY Gen Bus Law 380-b(b)).

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