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Pre-Qualification Worksheet -Anchor

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Pre-Qualification Worksheet -Anchor Powered By Docstoc
					                                 ANCHOR MORTGAGE SERVICES, INC.
                                              4260 Carmichael Court North
                                                Montgomery, AL 36106
                                                 Phone (334) 277-0900
                                                    www.anchormort.com

                                               Vicki Williams                Reba Curtis

    PLEASE PROVIDE VALID DRIVER LICENSE FOR EACH BORROWER WITH YOUR APPLICATION

                                               CONTACT INFORMATION

                                            Unmarried        Married             Separated
Borrower                                                          Co-Borrower
                  First             MI             Last                               First             MI               Last


Home Phone                                                        Home Phone

Office Phone                                                      Office Phone

Cell Phone                                                        Cell Phone

E-Mail                                                            E-Mail

Social Security                                                   Social Security

Date of Birth                                                     Date of Birth

Number of Years in School                                         Number of Years in School

# of Dependents                     Ages                          # of Dependents                      Ages

How would you like to be contacted during business hours?

Referred by:
    By checking this box, I give Anchor Mortgage Services my permission to pull my/our credit report for the
    purpose of pre-qualifying for a home loan.


                                             PRE-QUALIFY INFORMATION

Home will be:                Primary Residence                   Second Home                          Investment Property


Address of home to be purchased (if known):


                                                          Property Address



                          City                                State                           Zip




Purchase Price:                                                   Homeowners Insurance Agent:

Down Payment:                                                     Insurance Company:

Desired Monthly Payment:                                          Contact Phone Number:

Down Payment to come from:                 Sale of Home               Checking/Savings         Gift              Other

Are you active duty or retired military:                          If so, have you used your VA eligibility before?
                                                  RESIDENCE INFORMATION
                        Please provide addresses you have lived at for the past TWO YEARS
                Borrower Current Address                                             Co-Borrower Current Address

                       Property Address                                                      Property Address



City                     State                        Zip            City                          State                  Zip

       Own     Rent      Time at this address                               Own     Rent           Time at this address
Rent/mortgage amount        $                                        Rent/mortgage amount      $
                                  Is home for sale?                   Under contract?
                                  If yes, what is the sales price?          $
                                  How much do you plan to net after realtor/closing costs?           $


                Borrower Previous Address                                           Co-Borrower Previous Address

                       Property Address                                                      Property Address



City                     State                        Zip            City                          State                  Zip

       Own     Rent      Time at this address                               Own     Rent           Time at this address
Rent/mortgage amount $                                               Rent/mortgage amount $

                                                            EMPLOYMENT
                                          Please list ALL employers for past TWO YEARS

                Borrower Current Employer                                           Co-Borrower Current Employer

Employer                                                             Employer
Address                                                              Address


Phone                                                                Phone
Monthly income before taxes                                          Monthly income before taxes
Date of hire                                                         Date of hire
Present position                                                     Present position
Person to verify employment                                          Person to verify employment
Contact phone number                                                 Contact phone number


               Borrower Previous Employer                                           Co-Borrower Previous Employer

Employer                                                             Employer
Address                                                              Address


Phone                                                                Phone
Dates of employment                          to                      Dates of employment                        to
Monthly income before taxes                                          Monthly income before taxes
Position                                                             Position
Person to verify employment                                          Person to verify employment
Contact phone number                                                 Contact phone number
                                                        MONTHLY INCOME INFORMATION

                         Borrower Income                                                              Co-Borrower Income
                Source                             Amount                                 Source                                   Amount
       Salary                   $                                                    Salary                    $
       Retirement               $                                                    Retirement                $
       Social Security          $                                                    Social Security           $
       Child Support            $                                                    Child Support             $
       Other                    $                                                    Other                     $
       Other                    $                                                    Other                     $

                                                         OTHER REAL ESTATE OWNED


                             Property Address                                                                  Property Address



City                                            State         Zip             City                                         State             Zip

           nd                                                                        nd
       2        Home     Investment      Value            $                          2 Home         Investment               Value      $
Taxes             $                  Insurance            $                   Taxes            $                   Insurance            $
Principal Balance           $                                                 Principal Balance                $

                                                                      ASSETS
       NAME OF FINANCIAL                     TYPE OF ACCOUNT
                                                                                     ACCOUNT NUMBER                          APPROX. BALANCE
          INSTITUTION                     (CHECKING, SAVINGS, 401k, etc)




                                                                       DEBTS
Please list monthly obligations such as mortgages, auto loans, student loans, credit cards, 401k loans, etc.

                             CREDITOR                                           MONTHLY PAYMENT                        APPROXIMATE BALANCE




       Child Support                                                                                                                  ----
       Alimony                                                                                                                        ----
       Child Care (only if applying for VA loan)                                                                                      ----
Any judgments, lawsuits, bankruptcies (last 10 years), foreclosures (last 7 years)?                                                              Yes               No

If yes, what year was it dismissed?

Please check any of the following, if applicable:
                   Borrower or co-borrower has more than 25% interest in a business
                   Borrower or co-borrower is employed by family members
                   Borrower or co-borrower is paid commissions
                   Borrower or co-borrower owns rental property
                   Borrower or co-borrower received variable income, has earnings reported on IRS Form 1099 or income that
                  cannot otherwise be verified by an independent and knowledgeable source
  If any of the boxes are checked, please provide TWO YEARS tax returns with all schedules and W2s.

                                                                      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 not discriminate either on the basis of this information or
on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race or sex,
under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the
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 application state law for the
particular type of loan applied for.

                                          Borrower                                                                                                Co-Borrower
                I do not wish to furnish this information.                                                                 I do not wish to furnish this information.
Ethnicity       Hispanic or Latino              Not Hispanic or Latino                                     Ethnicity        Hispanic or Latino            Not Hispanic or Latino
                American Indian or              Asian        Black or                                                      American Indian or             Asian       Black or
                Alaska native                                African American                                              Alaska native                              African American
                Native Hawaiian or                                                                                         Native Hawaiian or
Race            Other Pacific Islander         White                                                       Race            Other Pacific Islander        White
Sex             Female                          Male                                                       Sex             Female                         Male




                                                                        Consent for Credit Verification

I/We hereby give our consent to have Anchor Mortgage Services, Inc. or any credit reporting bureau which it
may designate, obtain any and all information concerning my/our employment, checking and/or savings
accounts, obligations and all other credit matters which they may require in connection with my/our application
for financing. A copy of this authorization may be accepted as an original that I/we have signed.

I/We hereby further consent, agree and understand that Anchor Mortgage Services, Inc. will order a Credit
Report on my/our behalf. I/We understand that the cost for this report is $15.00 and is due at the time of
application.
   Attached is my/our check for $15.00 to cover the cost of the credit report.
   Please charge my credit card
   MC         Visa Card #:

3 Digit Code (found on back of card):                                                             Billing Zip Code:                                            Exp. Date:

     Please contact me and I will provide my card information over the phone

This authorization is for this credit transaction only in which the authorization continues in effect for the
maximum period, not to exceed one (1) year, allowed by law.


              Applicant’s Signature                                                               Date                                              Social Security Number


              Applicant’s Signature                                                               Date                                              Social Security Number

       A VALID DRIVER LICENSE FOR ALL BORROWERS MUST BE PROVIDED AT THE TIME OF APPLICATION

				
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