PreQualification - 1st Priority Mortgage, Inc.

PreQualification

All fields with an asterisk (*) are required

How did you hear about us?

Region I am looking for a mortgage * Required

Borrower Information

First Name	*

Middle Initial

Last Name	*

Street	*

City	*

State	*

Zip Code	*

Preferred Phone	*

E-mail Address	*

S.S. #	*

Birth Date	*

Marital Status

Years at Location	Under Two Over Two *

Rent or Own	Own Rent

Assets and Income

Monthly Income	(Gross) *

Employer	*

Job Title	*

Years at Position	*

Assets	Checking/Savings Balance Market Value of Real Estate Other Assets

Co-Borrower Information

First Name

Middle Initial

Last Name

Street

City

State

Zip Code	Copy Borrower Address

Preferred Phone

E-mail Address

S.S. #

Birth Date

Marital Status

Years at Location	Under Two Over Two

Rent or Own	Own Rent

Assets and Income

Monthly Income

(Gross)

Employer

Job Title

Years at Position

Assets	Checking/Savings Balance Market Value of Real Estate Other Assets

Questions or Comments

I authorize 1st Priority Mortgage, Inc. to obtain my credit report from a credit reporting agency. I understand that I can obtain this report from a credit reporting agency in accordance with the Fair Credit Reporting Act. I also understand that if I have any questions, disputes or comments about the information on my credit report, I must contact the credit reporting agency to address these issues.

This authorization is not an application for credit, nor is it a request to 1st Priority Mortgage, Inc. to consider an application for credit.

If you ask us, we will inform you whether or not a consumer report was requested and, if we did request a consumer report, the name and address of the consumer reporting agency that furnished the report. (NY Gen Bus Law 380-b(b)).

NMLS #29600. Contact 1st Priority Mortgage, Inc. for mortgage products and eligibility. 1st Priority Mortgage, Inc. is a Licensed Mortgage Banker, New York State Department of Financial Services-License number LMBC 107183. The Connecticut Dept. of Banking Consumer Credit Division-License number ML-29600. The Florida Office of Financial Regulation-Division of Consumer Finance-License number MLD2477. The New Jersey Dept. of Banking & Insurance. The Pennsylvania Department of Banking and Securities as a Mortgage Lender-License number 104688. All lending products are subject to credit and property approval. Terms, conditions, and certain restrictions may apply on all programs. Interest rate and program terms are subject to change without notice. This is not a commitment to lend. Contact a 1st Priority Mortgage Consultant for full details. 6000 Sheridan Drive, Williamsville, NY 14221 (888) 500-9733.

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