Pre-Qualification Application

Pre-Qualification Worksheet

Customer Name(s):

Phone Number:

Address:

E-Mail:

Purchase/Refinance

Owner Occupied/Second Home/Investor/Lot

Salaried/Self-Employed/Commission

Complete the following:

Monthly Income	Borrower	Co-Borrower
Salary
Alimony
Child Support
Dividends
Other
Total

Monthly Debt	Borrower	Co-Borrower
Car Payment
Credit Cards
Student Loan
Child Support
Alimony
Other
Total

Total Liquid Assets	Borrower	Co-Borrower
Checking Account
Savings Account
Stocks/Bonds
Equity in Home
Cash from Sale of Home
Gift
Other
Total
Desired Loan Amount
	Consent for Credit Check
I/We hereby authorize and request Sandy Spring Mortgage Corporation to obtain my credit report for the purpose of this pre-application.
Social Security Number

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