Vintage Homes Pre Qualification2.4 (PDF)

Submit by Email

Phone (901) 791-0283
Fax (901) 791-0290
Info@VintageHomes.com
Borrower

Co-Borrower

First Name

First Name

Last Name

Last Name

Social Security

Social Security

Birth Date

Birth Date

Phone Number

Phone Number

Current address:
Address

If less than 2 years complete former address info:
Address

Address Line 2

Address Line 2

City, State

City, State

Zip Code

Zip Code

How Long at Current Address?

How Long at Current Address?

Rent

Own

Other

Rent

Own

Employer

Employer

How Long at Current Job?

How Long at Current Job?

Phone Number

Phone Number

Monthly Gross Income

Monthly Gross Income

Other Income Sources

Other Income Sources

Other Monthly Gross Income

Other Monthly Gross Income

Checking account at:

Balance

Savings account at:

Balance

Other accounts at:

Balance

Other

I/We grant permission to Vintage Homes, Vintage Realty and said partners to obtain my/our credit report.
I/We understand that this is a request for information only and is not a full loan application. Additional
documentation and signature will be required at such time an application is made. Credit is subject to
approval.

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