Prequalification and Credit Authorization
 

To determine the loan amount that you may qualify for in purchasing a home on your present income, please complete this form.  You can be sure the information provided for the purposes of pre-qualification will be strictly confidential. With written authorization to order a credit report, we will be able to compile all the information, determine your qualifications, and notify you of their analysis.

Borrowers’ Information

Name
Social Security #
Date of Birth
 Address
 City
State
Zip Code
Phone # Cell
Daytime #
Email Address
Employer
How long employed with this employer?
Gross monthly income:
Select one: Hourly   Commission
Other income (including part-time/pension/disability/retirement/dividends)
Do you have assets/savings:  Please describe savings, cash on hand, IRA's, 401k's etc you personally own. (Having a larger down payment of 5% or 10% may be required if your credit is under 600)

 Co-Borrowers’  Information

Name
Social Security #
Date of Birth
 Address
 City
State
Zip Code
Phone # Cell
Daytime #
Email Address
Employer
How long employed with this employer?
Gross monthly income:
Select one: Hourly   Commission
Other income (including part-time/pension/disability/retirement/dividends)
Do you have assets/savings:  Please describe savings, cash on hand, IRA's, 401k's etc you personally own. (Having a larger down payment of 5% or 10% may be required if your credit is under 600)

Please answer these questions for both borrowers:

Have you filed bankruptcy in the last 7 yrs?   

Discharge date?   

Have you had property foreclosed on? 
Date of foreclosure?
Have you had your credit checked recently?  
Do you think your credit is likely good or bad?  Do you know approximately what your score is?
Have you likely had anything negative reported to the credit agencies in the last 12 month?
Do you have any outstanding collection items, liens, judgments or repossessions on your credit? 

By submitting this electronic application, I direct Wells Fargo Home Mortgage (or preferred lender for Kurt and Sheila) to obtain copies of my credit report. This consent shall automatically expire thirty (30) days from the date of this electronic application submission, indicating approval for the order.

   Borrowers' Signature (if sending electronically, please type your First, Middle and Last initials)        

  Co-Borrowers' Signature (if sending electronically, please type your First, Middle and Last initials)