1st Trust Savings Bank

Mortgage Loan Pre-Qualification Application

Simply fill in the form below and click the 'submit' button and one of our mortgage specialists will contact you.

Customer One - Personal Information:

Name:
SSN:
Phone:
Address:
City:
State:
ZIP:
Own/Rent # years at residence:

Customer One - Employment History

Current Employer: # years:
Annual Income $:
Alimony/Supplemental Income $:
Other $:

Customer Two - Personal Information

Name:
SSN:
Phone:
Address:
City:
State:
ZIP:
Own/Rent: # Years at Residence:

Customer Two - Employment History

Current Employer: # years:
Annual Income $:
Alimony/Supplemental Income $:
Other $:

Debts

Home Mortgage
Balance $: Monthly Payment $:

Car 1
Balance Due $: Monthly Payment $:

Car 2
Balance Due $: Monthly Payment $:

Total of All Credit Cards
Balance Due $: Total Monthly Payments $:

Total Other Loans
Balance Due $: Total Monthly Payments $:

Alimony $: Child Support $:

Assets

Checking Acctounts $: Savings Accounts $:
Value of Present Home $:
Other Assets $:

To Whom it May Concern: I/we hereby authorize 1st Trust Bank for Savings to obtain my/our credit report/s for the purpose of processing this pre-qualification application.