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Mortgage Prequalification Application

Mortgage Information
Primary Account Owner

First M. Last

Employment Information

Optional Information

To further assist in pre-qualification, please provide the following optional information (Please do not use commas or dollar signs in any answer):

$ (Borrower)
$ (Co-Borrower)
$ per month
$ per month
$ per month
$ per month

(payments on existing installment loans)

Deposit Information

Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account and so keeping in compliance; Select Bank & Trust Company’s policy requires that all applications be signed in person at your local branch before an account will be opened.