prequalform

TriState Mortgage Corporation
Loan Pre-qualification Form

TriState Mortgage Corp is the best source for alternative financing,
when your bank says No!

Please fill out the secure form below and submit your information to us.
A loan agent will contact you shortly with your loan options. Thank You.
Note: *= Required Information.

*Amount of Loan:
*Purpose of Loan:

APPLICANT INFORMATION
*First and Last Name:
*E-Mail Address:

*Home Phone:
*Work Phone:

*Street Address:
*City, State, Zip:

How long at present address:
Prior Address:
(If less than 2 years at present)

Best time to contact you:
Day(s): Time:

If applying on the weekend, do you want to be contacted this weekend?
Yes No

Was property purchased, built or inherited?
(if purchased, indicate price)

EMPLOYMENT INFORMATION

Employment and How Long:
Prior Employment:
(if less than 2 years at present)

*Date of Birth:
*Social Security # :

CO-APPLICANT INFORMATION(if any)
Co-Applicant First and Last Name:
Co-Applicant Employment:	Prior Employment (if less than 2 years at present)
Co-Applicant Date of Birth:	Co-Applicant Social Security # :

How would you rate your credit?
Excellent	Good	Fair	Poor

Comments - Questions?
Include any other information that you feel is important to the loan process.