* indicates a required field

Primary Borrower

*Name (First M. Last)
*Date of Birth (mm/dd/yyyy)
*Social Security Number:
Address
*City, State Zip-Plus4 ,
*Home Phone Number ( ) -
*Work Phone Number ( ) -
*Driver's License Number  *State
*E-mail
Current Employer
Current Job Position
Years at Current Job

Secondary Borrower

Name (First M. Last)
Date of Birth (mm/dd/yyyy)
Social Security Number:
Address
City, State Zip-Plus4 ,
Home Phone Number ( ) -
Work Phone Number ( ) -
Driver's License Number  State
E-mail
Current Employer
Current Job Position
Years at Current Job

Residence Information
Do you presently own or rent?
Present Monthly Payment

Mortgage Information
Cash Available for Down Payment
Please Select One Purchase
*Loan Amount Requested
Term Requested Thirty year   Twenty year
Fifteen year   Ten year

Other Information
To further assist in pre-qualification, please provide the following information. NOTE: Alimony, child support, or seperate maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for pre-qualification purposes.
Gross Income (Borrower)
(Co-Borrower)
Total Revolving Debt per month
Total Installment Debt per month
Value/Sales Price of Property
I certify under penalties of perjury the statements checked in this section are true.


I authorize Franklin Bank to obtain a copy of my current credit report as a condition of acceptance of this application and for the purpose of extension of or renewal of credit.

I would like to access this account through Online Banking.

Declarations

  Borrower Co-Borrower
a. Are there any outstanding judgments against you? Yes No Yes No
b. Have you been declared bankrupt within the past 7 years? Yes No Yes No
c. Are you a party to a lawsuit? Yes No Yes No
d. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured home loans, any mortgage, financial obligation. bond, or loan guarantee.) Yes No Yes No
e. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?. Yes No Yes No
f. Are you obligated to pay alimony, child support, or separate maintenance? Yes No Yes No
g. Is any part of the down payment borrowed? Yes No Yes No
h. Are you the co-maker or endorser on a note? Yes No Yes No
i. Are you a U.S. citizen? Yes No Yes No
j. Are you a permanent resident alien? Yes No Yes No
k. Do you intend to occupy the property as your primary residence? Yes No Yes No
l. Have you had an ownership interest in a property in the last three years? Yes No Yes No
(1) What type of property did you own - principal residence (PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?


Franklin Bank does not charge any fees for this prequalification. A representative from Franklin Bank will call you.


I certify that the facts contained in this application are true and complete to the best of my knowledge and agree that completing this form does not obligate Franklin Bank to extend credit.

* indicates a required field

Click here to print this form for your records.

    Reset