Pre-Qualification Form

For a free no obligation approval, complete the form below and click "Submit".
or print this page and fax to 336-249-4091.
Property must be located in North Carolina.
 
Borrower's Last Name
Borrower's First Name
Borrower's Email Address
Phone Number
(include area code)
Current Street Address
City  
State  
 Zip Code
Former Address
(if applicable)
City  
State  
 Zip Code
Date of Birth      
Employer      
Position      
Number of Years Employed      
Gross Monthly Income      
Former Employer
(if less then 2 yrs with current employer) 		     
Co-Borrower's Name
(if applicable) 		     
Co-Borrower's Address
(if different from borrower's) 		     
City  
State  
 Zip Code
Date of Birth      
Employer      
Position      
Number of Years Employed      
Gross Monthly Income      
Former Employer
(if less then 2 yrs with current employer) 		     
Type of loan interested in      
Purchase Price
(if purchase) 		     
Estimated Property Value
(if refinance) 		     
Requested Loan Amount      
Total of present monthly payments
(i.e. auto,credit card) 		     
Current mortgage loan payment
(if applicable) 		     
Please contact me by      
Additional Comments        
    
Privacy Statement:
The information which you give in completing this form will be forwarded to the designated party for its use and will not be used for any other purpose or provided by us to any other parties. If you wish information concerning the privacy policy or the designated recipient, please contact Davidson Mortgage Services, Inc.