Prequalification Worksheet | Greenfield Savings Bank
Prequalification Worksheet
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GENERAL INFORMATION
Please answer the following questions so we may find a mortgage product to meet your needs:
BORROWER
CO-BORROWER
Are you a first time homebuyer?
Are you a first time homebuyer?
[ ] Yes [ ] No
[ ] Yes [ ] No
How much are you looking to be qualified for? $
What is your purchase price range? $
Towns you are looking to purchase in:
BORROWER INFORMATION
Borrower's Name (Include Jr. or Sr. if applicable)
Co-borrower's name (Include Jr. or Sr. if applicable)
Social Security # Home Phone # Email Address Residence Address
Date of Birth Work Phone # Cell Phone #
Social Security #
Date of Birth
Home Phone # Work Phone # Cell Phone #
Email Address Residence Address
Mailing Address
Mailing Address
EMPLOYMENT INFORMATION
Company Name
Company Name
Position
Date of Employment
Position
Date of Employment
Income $
Income $
Hourly Rate
$
Hourly Rate
$
Weekly Rate
$
Weekly Rate
$
Gross Annual Salary
$
Gross Annual Salary
$
Income Frequency:
Income Frequency:
[ ] Weekly
[ ] Bi-weekly [ ] Semi-monthly
[ ] Weekly [ ] Bi-weekly [ ] Semi-monthly
[ ] Monthly [ ] Seasonal work
[ ] Monthly [ ] Seasonal work
IF LESS THAN 2 YEARS IN CURRENT EMPLOYMENT
Company Name
Company Name
Position
Position
Dates of Previous Employment
Dates of Previous Employment
ADDITIONAL INCOME INFORMATION
Any additional source of income?
Any additional source of income?
You need not disclose income from alimony, child support or separate maintenance if you do not choose to have it considered as a basis for repaying this loan.
Is there other household income?
ASSET QUESTIONING
Total liquid assets in checking/savings/retirement $
$
$
Gift funds from relative: $
Total funds available for down payment/closing costs: $
Number of people to occupy home: Adults #
Children #
CURRENT MONTHLY LIABILITIES
What is your current rent? $
Current mortgage payment $
Living rent free? [ ] Yes
Private loans not on credit report: Balance $
Monthly payment: $
Selling current home or retaining: [ ] Yes [ ] No/Retaining [ ] Other:
Do you currently have any:
Car Loans
Balance $
Monthly payment: $
Student Loans
Balance $
Monthly payment: $
Credit Cards
Balance $
Monthly payment: $
Balance $
Monthly payment: $
Balance $
Monthly payment: $
Balance $
Monthly payment: $
Balance $
Monthly payment: $
Lines of Credit
Balance $
Monthly payment: $
Other Mortgage Payments
Balance $
Monthly payment: $
Overdraft balances
Balance $
Monthly payment: $
If you currently pay child support, alimony or separate maintenance, please disclose amount paid: $
Frequency:
By signing below I/we hereby authorize Greenfield Savings Bank to obtain a consumer credit report through a credit reporting company chosen by Greenfield Savings Bank (GSB). I/We understand and agree that GSB intends to use this consumer credit
report for purposes of evaluating my/our financial readiness to buy a home. I/We understand that this credit report will be
retained on file at GSB within the bank's record retention policy and that the information will not be disclosed to anyone
outside of GSB's privacy policy or without my/our written consent.
SIGNATURES
BORROWER'S SIGNATURE
DATE
CO-BORROWER'S SIGNATURE
DATE
BORROWER'S PRINTED NAME
CO-BORROWER'S PRINTED NAME
Income ? Gross Monthly Borrower Co-Borrower Total GMI
Housing Ratio Total Debt Ratio Total other monthly debt
$ $ $
% % $
BANK USE ONLY
Proposed Payment
P&I
$
Taxes
$
Hazard
$
MI
$
Condo Fee
$
Total PITI
$
Total Debt
$
Loan Amount
$
Estimated Sales Price
$
Down Payment
$
Product
Term (years)
Rate
%
Notes: ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________
Loan Officer:__________________________________________________ NMLS #____________________ Greenfield Savings Bank Company Identification 409187
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