Home Pre-Application

Name (Head Of Household)
SSN: DOB:
Phone Number: Email Address:


Spouse's Name
SSN: DOB:

Property Address :
Square Footage:



Date Built :        
Nbr. Floors: : Nbr. Fireplaces: Masonry or Metal :
Nbr full baths : Nbr Half Baths : Type Of slab :
In City Limits : yes no
Smoker: yes no
Age Of Roof
Exterior Information
(Brick, stone, siding) % 		%
Central Burglar/Fire Alarm: yes no
Monitored: yes no
Garage Type attached detached
Number of garages
Smoke Alarms : yes no Trampoline: yes no

 
Hardwood
Tile
Stone
Parquet
Carpet
Vinyl
Slate
Marble
Floor Covering %

Kitchen Countertops: Bathroom Countertops:  

If this is a new purchase, Date you intend to close?  

Lender Information
Lien Holder Information (if financed):
(Address, and phone number)

Click all that apply: Greenhouse      Central Vacuum Spiral Staircase Trash Compactor
  Skylights      Exterior Shutters Electric Air Cleaner Wet Bar
  Breezeway      Hot Tub Bay Windows  
Porch:
Covered      Open Screened  
Deck:
Wooden      Red Wood Composite  
  Intercom System     Jacuzzi Built In Refrigirator Wine Chiller