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Pre-Qualification Form

Home » Pre-Qualification Form

Please fill out our Pre-Qualification form below.

Minimum credit score required is 580.

Your data is secure and protected by 2048 bit Industry Standard SSL Certificate

Borrower
First Name*
Middle Initial
Last Name*
DOB Month*
DOB Day*
DOB Year*
Social Security Number
Email*
Cell Phone Number...*
Address*
Hidden
Unit Type
Unit #
City*
State*
Zip*
How Long At Current Address
Living Status at Address
Loan Officer
Loan Offiecer selectbox*
Income
Notice: Alimony, Child Support Or Separate Maintenance Income Need Not Be Revealed If The Borrower Or Co-Borrower Does Not Choose To Have It Considered For Repaying This loan.
Gross Monthly Income
Employment Section
Employment Status
Name Of Employer
How Many Years
How Many Months
Assets
Checking
Savings
Retirement Funds
Other Assets
Additional Real Estate Owned
Do You Own Additional Real Estate
How Many Properties
Additional Details
Marital Status
Do you pay child support or alimony
How Much Per Month
Is This a Purchase or Refinance
Are You a Veteran
How Many Dependents
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Childcare Expenses Monthly
First Time Home Buyer
Co-Borrower
Click here if you have a Co-Borrower
- Click here if you have a Co-Borrower
First Name*
Middle Initial
Last Name*
DOB Month*
DOB Day*
DOB Year*
Social Security Number
Email*
Cell Phone Number...*
Click Here If Address is Same as Above
- Click Here If Address is Same as Above
Address*
Hidden
Unit Type
Unit#
City*
State*
Zip*
How Long At Current Address
Living Status at Address
Income
Notice: Alimony, Child Support Or Separate Maintenance Income Need Not Be Revealed If The Borrower Or Co-Borrower Does Not Choose To Have It Considered For Repaying This Loan.
Gross Monthly Income
Employment Section
Co Bro Employment Status
Co Bro Name of Employer
Co Bro How Many Years employee
Co Bro How Many Years self employee
Co Bro How Many Months employee
Co Bro How Many Months self employee
Assets
Co Bro Checking
Co Bro Savings
Co Bro Retirement Funds
Co Bro Other Assets
Additional Real Estate Owned
Co Bro Do You Own Additional Real Estate
Co Bro How Many Properties
Additional Details
Co bro Marital Status
Co Bro Do you pay child support or alimony
Co Bro How Much Per Month
Co Bro Are You a Veteran
How Did You Hear About Us?
How did you hear about us
Friend Name
Friend Cell Phone Number
RealtorName
Realtor Cell Phone Number
Builder Name
Builder Cell Phone Number
Authorization
Borrower Authorization Checkbox*
- Borrower Signature
I understand that by submitting this online application, I am authorizing a credit check and to make whatever inquiries necessary in connection with this request.
Upload borrower digital signature
- Click Here If You Want To Upload Digital Signature
Signature*
For easier signing please turn the phone sideways.
Borrower digital signature upload*
Accepted file types: jpg, png, jpeg, Max. file size: 3 MB.
Co-Borrower Signature Below
Co Borrower Authorization Checkbox
- Check here if co-borrower is not present to sign the digitial signature.
Chk Co borrower upload digital signature
- Click Here If You Want To Upload Digital Signature
Please Provide Your Co-Borrower Digital Signature:
Co Signature*
For easier signing please turn the phone sideways.
Co borrower digital signature
Accepted file types: jpg, png, jpeg, Max. file size: 3 MB.
Co-Borrower signature Email
Co-Borrower Cell Phone Number*
Info For Government
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish the information, please check the box below.
Borrower

Ethnicity: Check one or more
Hispanic or Latino
Mexican Puerto Rican Cuban
Other Hispanic or Latino - print origin
For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, And So On.

Not Hispanic or Latino
I do not wish to provide this information

Race: Check one or more
American Indian or Alaska Native - Print name of enrolled or principal tribe:

Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian - Print race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, And So On.

Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian Guamanian or Chamorro Samoan
Other Pacific Islander - Print race:
For example: Fijian, Tongan, And So On.

White
I do not wish to provide this information

Sex
Male
Female
I do not wish to provide this information

Co-Borrower

Ethnicity: Check one or more
Hispanic or Latino
Mexican Puerto Rican Cuban
Other Hispanic or Latino - print origin
For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, And So On.

Not Hispanic or Latino
I do not wish to provide this information

Race: Check one or more
American Indian or Alaska Native - Print name of enrolled or principal tribe:

Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian - Print race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, And So On.

Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian Guamanian or Chamorro Samoan
Other Pacific Islander - Print race:
For example: Fijian, Tongan, And So On.

White
I do not wish to provide this information

Sex
Male
Female
I do not wish to provide this information

About Us:

Founded in 1919 in Magnolia, KY, Magnolia Bank is a direct lender and Member FDIC.

Company NMLS: 423028

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