135 Cherokee Street, Waynesville, NC 28786
Tel: (828) 454-1000 | Fax: (828) 454-1092
"Aerial One Mortgage Solutions, Inc.”
mortgage brokers, Asheville, NC.

Untitled Page
Prequalification Form
Borrower
Birthdate
SS Number
Email
Co-Borrower
Birthdate
SS Number
Email
Home Phone Number
Property Address
City
State
Zip
Home Address
City
State
Zip
If less than two years, please list previous address:
Previous Address:
City
State
Zip
First Mortgage (if applicable):
Year Built:
Month/Year Purchased:
Type of Home: Manufacturered Modular Stick:
Mortgage Holder:
Current Balance:
Term:
Interest Rate:
Fixed: Adjustable: Payment:
Escrow Included?
Yes No How Much?
Estimate Appraisal:
Last Appraisal:
Square Footage:
Acreage:
Second Mortgage (if applicable):
Mortgage Holder:
Current Balance:
Term:
Interest Rate:
Fixed: Adjustable: Payment:
Employment:
Current Employer:
How Long:
Title
Gross Salary:
Employer Address:
Phone Number:
If less than two years. previous employer:
Current Employer:
How Long:
Title
Gross Salary
Employer Address:
Phone Number:
Co-Borrower:
Current Employer:
How Long:
Title
Gross Salary:
Employer Address:
Phone Number:
If less than two years. previous employer:
Current Employer:
How Long:
Title
Gross Salary:
Employer Address:
Phone Number:
Credit Information:
Credit Rating: Excellent Good Average Poor
Number of late mortgage payment in last year?
Bankrupt:
Yes No If so, when discharged? When dismissed?
Foreclosure:
When In? When Out?
Customer Comments/Explanation:


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