"The secret to our success is simple and a bit old-fashioned:
we treat you like we would want to be treated."

Pre-Qualification Loan Application 

Instructions 

  1. Use this form to request mortgage information.
  2. Please fill out as much of this form as possible.
  3. When finished, click on the send button.

A phone number is required if you would like a loan officer to contact you.  Otherwise, you will be contacted via e-mail. 
 

The information you provide is on our secure server and is strictly confidential. 

General Information

Borrower

Co-borrower(if different)

Full Name:

Address:

City, State, Zip

Home Phone:

Work Phone:

Best time to Contact:

E-mail:

Employer:

Employers' Phone No:

Are you self employed ?

Yes No

Yes No

Gross Monthly Income:

Length of Employment:

Yrs: Mos: 

Yrs: Mos: 

Date of Birth:

Social Security Number:

 

 

My credit history is:

 

Authorize to pull credit report?

Yes No 

excellent 
good, but some lates  
some credit problems  
major credit problems 
don't know

 

Authorize to pull credit report?

Yes No 

excellent 
good, but some lates  
some credit problems  
major credit problems 
don't know

Borrower Declarations

 

Borrower

Co-Borrower

Ever declared Bankruptcy?

Yes No

Yes No

Ever had a Foreclosure?

Yes No

Yes No

Are you a U.S. citizen?

Yes No

Yes No

 

Loan Request

Amount Requested:

Type of loan:

Purchase Refinance 2nd Mortgage Equity Line 
Home Improvement Debt Consolidation

Loan Type

FHA Conventional Sub-Prime

 

Property Information

Street Address:

City, State, Zip Code:

Estimated Present Value:

Type of Property:

Primary Residence Vacation Home Investment Property 

Purchase Amount:

 Expected Purchase Date:

Expected Down Payment:

Year Property Purchased:

Type of Home:

Single Family 2-4 Family Condominium

If investment property,

rental income per month

 

Asset Information

 

Bank or Broker Name

Approximate Balance

 

Credit Information

Mortgage Balances

Amount:

Held by:

Payment:

First:

Second:

Other:

 

Creditors

Amount Owed

Monthly Payment

Will you pay this off ?

$

$

Yes No

$

$

Yes No

$

$

Yes No

$

$

Yes No

$

$

Yes No

$

$

Yes No

$

$

Yes No

$

$

Yes No

Other information and comments 

 

 

Mortgage Amenities Corp.

25 Blackstone Valley Place, Suite 201

Lincoln, RI 02865

 

Telephone:  1-800-890-8376

Fax:  1-401-334-6792

 

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