Vintage Homes Pre-Qualification

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. Submit by Email