Pre-qualify Me!

This form will take approximately five minutes to complete.

Getting pre-qualified for a mortgage loan empowers you by letting you know exactly how much home your can afford. Fill out and submit this form to get pre-qualified for a home loan. The form should take about five minutes to complete. One of our expert loan officers will contact you within two business days to let you know the results and to answer any questions you might have.

Don’t feel like filling out the form? Give us a call! We can pre-qualify you over the phone in a matter of minutes.

This form is secured using Secure Socket Layer (SSL) technology. Your personal information is encrypted and protected from unauthorized access. First Bank Mortgage takes your privacy very seriously. Your information will not be shared with anyone outside First Bank Mortgage, nor with any unauthorized persons within First Bank Mortgage.

Preferred Loan Officer:

Peter Franklin James Gay Dianne M. Hart Jean Hunt Chris Johnson Tim Key Frank Lee Holly Lott John Marcus Jennifer Stewart Tammy Bacmeister Jim Little David Mordecai David Stelbrink Ashley Stokes Tracey Burdette Shannon Foune Carolyn Glenn Gretchen Johnson Joy McAlhaney Patricia Small Stacie Taylor

General Information

How did you hear about us?

How soon are you looking to buy/build/refinance?

So that we may contact you, please provide either your e-mail address or phone number:

E-Mail:

Phone:

Borrower Information

Borrower's Full Name:

SSN:

Birthdate:

Co-Borrower's Full Name:

SSN:

Birthdate:

Borrower's Current Address:

Borrower's Current Address 2:

City/State/Zip

Time at Current Address:

Years: Months:

Own or Rent

Monthly Rent/Mortgage Pmt.: $

If selling, how much profit do you anticipate? $

If not selling, will it be rented?Yes No

For how much per month? $

List any other addresses Borrower has lived at during the past 2 years.

Employment Information

Borrower's Current Employer:

Time With Current Employer:

Years:Months:

Current Position:

Pay grade, if current military:

Years of service, if current military:

Annual Gross Income, Base: $

Annual Gross Bonuses & Commissions: $

Co-Borrower's Current Employer:

Time With Current Employer:

Years: Months:

Current Position:

Annual Gross Income, Base: $

Annual Gross Bonuses & Commissions: $

Asset Account Information

Approximate Total Balance, Checking and Savings Account: $

Approximate Total Balance, 401ks and IRAs: $

Approximate Total Balance, Stocks, Bonds, Mutual Funds: $

How much money are you planning to contribute toward closing costs and down payment:
$

Other Information

Are you eligible for VA financing? Yes No Not Sure

Have you ever used your VA eligibility? Yes No Not Sure

Please breifly describe any special circumstances that may affect your application (bankruptcy, payment or receipt of alimony and/or child support, investment property income, etc.)

Are there any other questions or concerns you have that we can address for you when we call?

Permission to Obtain Credit Report

In order to provide an accurate estimate, First Bank Mortgage needs to access your merged in-file credit report. There will be no fee, and First Bank Mortgage will not share your information with any third party. By submitting this form you provide your consent for First Bank Mortgage to obtain a credit report from a credit reporting agency.

I (we) authorize First Bank Mortgage to obtain a credit report from a credit reporting agency.

This form is secured using Secure Socket Layer (SSL) technology. Your personal information is encrypted and protected from unauthorized access. First Bank Mortgage takes your privacy very seriously. Your information will not be shared with anyone outside First Bank Mortgage, nor with any unauthorized persons within First Bank Mortgage.

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