AMCAP Mortgage, LTD Prequalification

AMCAP Mortgage, LTD Prequalification
Michael Tedone
Residential Mortgage Loan Originator
NMLS #309682
mtedone@myamcap.com
Phone: 281-953-2537
Fax: 281-493-6690
AMCAP Mortgage, LTD
NMLS #129122
11931 Wickchester Lane
Suite 444
Houston, Texas 77043
amcapwest.com
SALES & COMMUNITY INFORMATION
Sales Associate: _____________________________________
Community: ______________________________________________________
Chris or Karen
Lakeland
PERSONAL INFORMATION
Borrower Name:______________________________ DOB:____________________ SSN:_______________________ Married □ Unmarried □
Co-Borrower Name: ___________________________DOB: ____________________ SSN: ______________________ Married □ Unmarried □
Current Address: __________________________________________________________________ Rent □ Own □ (Monthly Payment) $____
How many years have you lived here? _________E-Mail: _____________________________________Cell Phone: ______________________
BORROWER EMPLOYMENT
Present Employer: _________________________________________ Check Applicable: W-2 □ Self-Employed □ 1099 □ Hourly □ Part Time □
Employer’s Phone: _______________ Job Title: _________________ Start Date: ____________ Gross Monthly Income: $________________
Other Income (Explain): $________________________________ (2nd Job, Bonus, Overtime, Commission, Etc.)
CO-BORROWER EMPLOYMENT
Present Employer: ________________________________________Check Applicable: W W-2 □ Self-Employed □ 1099 □ Hourly □ Part Time □
Employer’s Phone: _______________ Job Title: _________________ Start Date: ____________ Gross Monthly Income: $________________
Other Income (Explain): $________________________________ (2nd Job, Bonus, Overtime, Commission, Etc.)
ASSETS
Bank Name:_____________________________________ Checking Balance: $____________________________________________________
Bank Name:_____________________________________ Savings Balance: $_____________________________________________________
Money Market: $_____________ 401K/IRA: $_______________ Retirement Account: $______________ Stocks/Bonds: $_________________
REAL ESTATE
Real Estate – Address: ___________________________________________________________________________________________
Existing Lien: $_______________________Lien Holder: ________________________________________________________
Taxes/Insurance Included in Monthly Payment? Yes □ No □ Monthly Taxes and Insurance: $_______________________________________
Sold prior to closing? Yes □ No □ Sales Price: $___________________Leased? Yes □ No □ Monthly Lease Amount: $_______________
LEGAL
Will you occupy the home as your primary residence? Yes □ No □ Have you owned a home in the last 3 years? Yes □ No □
Are you a U.S. Citizen? Yes □ No □ Have you ever filed for bankruptcy/foreclosure? Yes □ No □ Date: ____/_____/_____
Do you have any outstanding judgments or tax liens against you? Yes □ No □ Amount: $__________________________________________
Are you a co-maker on any notes? Yes □ No □ Amount: $_______________________________________________________________
Do you owe child support or alimony? Yes □ No □ Amount: $_______________________________________________________________
I/we hereby authorize AMCAP Mortgage to obtain a consumer credit report. AMCAP Mortgage will be obtaining a credit report from a third
party vendor approved by the three credit repositories. The intent for attaining this information is to be used strictly for consumer inquiry
purposes only. All loans require the completion of a loan application and are subject to credit approval and property review. Program terms
are subject to change. I may be given a “Notice to Home Loan Applicant” and my credit score and the key factors that contribute to the
score.
This form may be reproduced or photo copied, and a copy shall be as effective a consent as the original which we signed for the duration of
the loan process.
Borrower Signature
Date
Borrower Signature
Date