Pre-Approval Request


Are you currently working with one of our executive mortgage bankers?:
    If Yes, Executive Mortgage Banker Name:
Are you currently working with a Real Estate agent?:
    If yes, Listing Agent (if a Raveis agent): Name:

Borrower First Name: Last Name
SS#: Date of Birth:
Street Address:
City:  state:  zip:
Rent or Own?:  No of Years:  Monthly Payment:
Home Phone: - - Children (# & Ages):
Self-Employed?: Current Employer:
Job Title: Work Phone: - -
Email: Total Annual Salary:

How long at Current Position?:
Sales Associate who referred you:
Real Estate Office:
Are you currently working with one of our executive mortgage bankers?:
    If Yes, Executive Mortgage Banker Name:
Are you currently working with a Real Estate agent?:
    If yes, Listing Agent (if a Raveis agent): Name:

Co-Borrower First Name: Last Name
SS#: Date of Birth:
Street Address:
City:  state:  zip:
Rent or Own?:  No of Years:  Monthly Payment:
Home Phone: - - Children (# & Ages):
Self-Employed?: Current Employer:
Job Title: Work Phone: - -
Email: Total Annual Salary:

How long at Current Position?:
Sales Associate who referred you:
Real Estate Office:
BANK ACCOUNTS (checking, savings, 401(k), money market, etc.)
Borrower: Co-Borrower:
Institution Name:Institution Name:
Balance:Balance:
Institution Name:Institution Name:
Balance:Balance:
Institution Name:Institution Name:
Balance:Balance:
Institution Name:Institution Name:
Balance:Balance:
DECLARATIONS Borrower: Co-Borrower:
Have you had property foreclosed upon or given title or deed in lieu therefore in the last 7 years?
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligations, bond, or loan guarantee?
Are you a U.S. citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
Have you had ownership interest in a property in the last 3 years?
Are you obligated to pay alimony, child support or separate maintenance?
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Certificate Status - Certificate is valid (12/03/2007 - 12/3/2008)