Anderson Family Mortgage
Pre-Approval Form
-CONFIDENTIAL-

FULL NAME INFORMATION
Last Name
First Name Middle Initial

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HOME ADDRESS INFORMATION
Address
City       State Zip
Phone     E-mail

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PROPERTY ADDRESS INFORMATION
Address
City       State Zip

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PRE-APPROVAL INFORMATION

1. I want to... Purchase Refinance Get an Equity Credit Line
2. This property will be or is ... Occupied by me An Investment Property A Second/Vacation Home
   
3. This property is a ... Single Family Condo 2-4 Family Duplex Commercial
   
4. I estimate the property to be worth ... $
   
5. I need to borrow ... $
   
6. I am... A Salaried/Hourly Employee A Self-Employed Business Owner Licensed by the State to Provide a Service
   
7. I have savings that I can show in a ... Savings Account Checking Account Stocks/Bonds Mutual Fund Certificate of Deposit Money Market Account Retirement Account Equity From Property Cash Value Insurance
   
8. My Credit Report is... Very Good GOOD Fair Poor I have no Credit Unknown
   
9. I filed Bankruptcy... 2 years or More Less than 2 years Ago I'm still in Chapter 13 Never I have no Credit Unknown
   
10. I am... Married with children Married no children Single with children Single no children Divorced Seperated Widow(er)
    
11. Please number the following items in the order of MOST IMPORTANT to LEAST IMPORTANT...
    
    
    1 2 3 4 5 6 Low Rate   1 2 3 4 5 6 Low Payment
    
    1 2 3 4 5 6 Fixed Rate 1 2 3 4 5 6 No Closing Costs
    
    1 2 3 4 5 6 Cash Back
    
    1 2 3 4 5 6 Taxes/Insurance in Payment

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    The following additional information will be needed for the remainder of the Mortgage Process with you scheduled AFM Representative:

• Social Security Number
• Date of Birth
• Gross Income