Mortgage Pre-Qualification - Nelson Capital Financial Services

NELSON CAPITAL FINANCIAL SERVICES

Mortgage Pre-Qualification Application

Tell us about your purchase and financial background so we can pre-qualify you quickly and accurately.

Application Received

Thank you. A member of our team will review your information and contact you within 1 business day to discuss pre-qualification and next steps.

Property & Loan Information

Purchase Price / Estimated Value *

Required — numbers only

Down Payment *

Required — numbers only

Type of Property *

Please select a property type

Usage of This Property *

Please select usage

Property Address

Preferred Contact Method

Borrower Information

Full Name *

Full name is required

Date of Birth *

Date of birth is required

Social Security # (last 4)

# Years in School

Child Support

Citizenship

Marital Status

Email Address *

Valid email is required

Home Phone

Cell Phone *

Cell phone is required

Current Street Address

City / State / ZIP

Own / Rent & Since

Monthly Rent / Mortgage

Landlord Name

Landlord Phone

I've lived at my current address less than 2 years — add prior residence

▸ Previous Address

Prior Street Address

City / State / ZIP

Own / Rent

Number of Years

Add a Co-Borrower to this application

Borrower Employment

Employer Name *

Employer is required

Job Title *

Job title is required

Employer Address

City / State / ZIP

Employer Phone

Years on This Job

Years in This Field

Gross Monthly Income *

Income is required — numbers only

Self-Employed or Commission?

I've been at my current job less than 2 years — add prior employer

▸ Previous Employer

Prior Employer

Job Title

Years on Job

Phone

Assets (Bank Accounts & Investments)

Real Estate Owned

List any properties you own other than your primary residence.

Demographic Information (Optional)

This information is requested by the federal government to monitor compliance with fair lending laws. You are not required to provide it.

Borrower Ethnicity

Borrower Race

Borrower Gender

Authorization & Signature

By signing below, I authorize Nelson Capital Financial Services to check my credit and verify the information provided in this application.

You must authorize to submit

Borrower Signature (full name) *

Signature is required

Date *

Date is required

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