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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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