Pre-Qualification Application

Personal Information
Borrower		DOB	SS#
Co-Borrower		DOB	SS#
Current Residence
Current Address
City
State
ZIP
Phone
Rent / Own	rent own
Monthly Payment
Years At This Address
Landlord & Phone (if applicable)
Mortgage Company (if applicable)
Previous Residence
Previous Address
City
State
ZIP
Rent / Own	rent own
Years At Previous Address
Landlord & Phone (if applicable)
Mortgage Company (if applicable)
Employment - Main Borrower
Current Employer
Employer Phone
Current Position
Years Employed
Gross Income
Previous Employer
Previous Phone
Years at Previous Employer
Employment - Co-Borrower
Current Employer
Employer Phone
Current Position
Years Employed
Gross Income
Previous Employer
Previous Phone
Years at Previous Employer
Other Information
Other Income Amount
Other Income Source
If refinancing, value
If purchase, price
Available Funds
Balance

I/we hereby authorize Crestar MTG. Corp. to verify my/our past and present employment, earnings records, bank accounts, stocks, holdings and any other assets balance that are necessary to process my/our mortgage loan application. I/we further authorize Crestar Mortgage Corp. to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references It is understood that a copy of this form will also serve as authorization. The information that is obtained by this authorization is only used in processing of my/ our application for a mortgage loan.

I agree to the terms above.