Financial Pre-Qualification

FINANCIAL PRE-QUALIFICATION STATEMENT

Applicant Information

Date of Birth:    Social Security Number:    Phone:

Co-Applicant / Joint Applicant (if applicable)

Joint Application:    Co-Applicant Full Name:

Employment and Income

Position/Title:    Employment Start Date:    Gross Monthly Income: $

Assets and Liabilities

Loan Request / Property Information

Desired Loan Amount: $    Property Purchase Price / Value: $    Estimated Down Payment: $

Declarations

Have you declared bankruptcy in the past seven years? Yes No

Are there any outstanding judgments, liens, or defaults? Yes No

Documentation Provided

Pay stubs:    Tax returns:    Bank statements:    Government ID:

Authorization, Certification and Consent

I certify that the information provided in this Financial Pre-Qualification Statement is true, complete, and submitted in good faith. I understand that this statement is provided for the purpose of obtaining a preliminary assessment of eligibility and is not a commitment to lend. Any decision to extend credit will be subject to verification of information supplied, appraisal of collateral where applicable, underwriting approval and the execution of definitive loan documents containing customary terms and conditions.

I authorize the lender and its agents to obtain credit reports, verify employment and income, and obtain any other information necessary to evaluate my creditworthiness. I understand that the lender may retain copies of submitted documents, and that providing false or misleading information may result in denial of pre-qualification and potential legal consequences.

Permission to Obtain Credit Report: I authorize the obtainment of consumer and business credit reports and related information.

Privacy and Disclosure Acknowledgment

The information you provide will be used to evaluate creditworthiness and may be shared with affiliates, third-party service providers, and credit reporting agencies as necessary to process this pre-qualification request. The lender will handle personal data in accordance with applicable privacy and consumer protection laws. By signing below, you acknowledge receipt of any required disclosures and consent to the described uses.

Important Notices

This Pre-Qualification Statement is an informational assessment based on the representations and documents you provide. It is not an approval or commitment to lend. Final loan terms, including interest rate, fees, and repayment schedule, are determined only after full underwriting and execution of the loan agreement. Lender reserves the right to require additional documentation and to rescind any preliminary determination based on further investigation.

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