Pre-Qualify Form

6005 W Park Blvd Plano Tx 75093 Phone# 972-245-5626 Fax# 972-428-7256
E-Mail: Info@dreamhomemortgage.com
DREAM HOME A DIVISION OF BRAZOS NATIONAL BANK

Today's Date

Borrower's Name :

Current Address :

City :

Zip Code

Year's at Address

Date of Birth

SS#

Purchase Price :

How Much Down Payment :

Employer 1

Year's On Job :

Job Title :

Employer 2

Year's On Job :

Job Title :

Gross Income :

Salaried Yes No

(1099 or Contract or W2) please specify :

Self-Employed

Yes No

Legal Status: Citizen/GC/HIB

First Time Home Buyer :

You own any other Property since last 3 year's :

If yes, monthly mortgage payments :

Monthly minimum payment (CC, Student Loan, Payments plan to IRS) $ :

Bankruptcy/Foreclosure in last 7 yrs if yes, when :

If divorced pay Child Support or an Alimony if yes, Amount $ :

Email

Phone

Are you renting or currently own a home ?

Renting Own a Home Living with Family

Rental Amount $

Mortgage Amount $

Do you need a Realtor to show you homes?

Yes No

Co-Borrower

Yes No

Co Borrower's Name :

Current Address :

City :

Zip Code :

Year's at Address :

Date of Birth

SS#

Purchase Price :

How Much Down Payment :

Employer 1

Year's On Job :

Job Title :

Employer 2

Year's On Job :

Job Title :

Gross Income :

Salaried

Yes No

(1099 or Contract or W2) please specify :

Self-Employed

Yes No

Legal Status: Citizen/GC/HIB

First Time Home Buyer :

You own any other Property since last year's :

If yes, monthly mortgage payments :

Monthly minimum payment (CC, Student Loan, Payments plan to IRS) $ :

Bankruptcy/Foreclosure in last 7 yrs if yes, when

If divorced pay Child Support or an Alimony if yes, Amount $: