PLATINUM MORTGAGE

719 Sawdust Rd., Suite 200
The Woodlands, TX 77380
E-mail:
tinas@platinummortgagetx.com
281-367-3009 (office)
281-298-5773 (fax)
PREQUALIFYING APPLICATION

General Borrower ___________________________________________ SS# __________________________

Co-Borrower _________________________________________ SS# ________________________________

Present Address _________________________________ City/Zip ______________ Rent/Own ________

How Long ___________ # of Children ____ Ph: _________________________

Employment:

Borrowers: ___________________________ How Long _____ Income__________ Mo ______ Salary ________

Other __________ Phone __________________________

Co-Borrowers _________________________ How Long _____ Income_________ Mo ______ Salary________

Other __________ Phone _____________________

Additional Income
:
Borrower: Child Support $ _____________________

Co-Borrower: Child Support $ __________________ Any Past Due or Delinquent Accounts in the Past 12
Months?Yes or No

Assets: Source of Funds ______________

Has Either Party Been Involved in a Bankruptcy or Under Gone a Foreclosure within thepast 7 Years? Yes or No

I/We Hereby Understand that Platinum Mortgage will Obtain an Infile Credit Report From a Credit Bureau.

X _________________________________________ Borrower
X _________________________________________ Co-Borrower

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