No Family Left Behind

Give us a call 866-421-6019

Pre-Qualify Mortgage Form

Referred By

Mortgage Loan Originator

First Name *

Last Name *

Birth Date *

Month

Day

Year

Email Address *

Best Contact Number *
-
Area Code Phone Number

Current Residence Address *

City *

State *

Zip Code *

Do you rent or own currently?

Rent

Own

If you own, what will you be doing with your primary residence?

Selling it

Renting it

I'm keeping it and purchasing a 2nd home

I'm keeping it and buying a rental property

How long have you lived at your current residence?

Current Monthly Rental Payment (If Applicable)

Previous Residence Address (If Less Than 2 Years)

APT Number

City

State

Zip Code

Current Employer

Employer Phone Number
-
Area Code Phone Number

Employer Address

City

State

Zip Code

Years at Employer

Gross Monthly Income (Before Taxes)

Position

How do you get paid?
Hourly
Salary
Commission

Additional Income
Commission
Bonus

Are you Self Employed? (This includes 1099 employees)
Yes, Self Employed
No, I receive a W2

Are you obligated to pay court ordered alimony or child support?

Social Security #:

I give Citrus Lending authorization to do a soft pull on my credit

Client #2 (If Two Buyers Are Financing)

First Name

Last Name

Birth Date

Month

Day

Year

Email Address

Best Contact Number
-
Area Code Phone Number

Home/Cell Number
-
Area Code Phone Number

Address

APT Number

City

State

Zip Code

Current Employer

Employer Phone Number
-
Area Code Phone Number

Employer Address

City

State

Zip Code

Years at Employer

Gross Monthly Income (Before Taxes)

Position

How do you get paid?
Hourly
Salary
Commission

Additional Income
Commission
Bonus

Are you Self Employed? (This includes 1099 employees)
Yes, Self Employed
No, I receive a W2

Are you obligated to pay court ordered alimony or child support?

(If Yes) How much are you obligated to pay monthly?

Social Security #:

I give Citrus Lending authorization to do a soft pull on my credit

Finalize Application (Combined Information)

Account #1
Checking
Savings
Money Market

Avg monthly balance

Retirement Account Total Vested Amount

Account #2
Checking
Savings
Money Market

Avg monthly balance

CD / Total Amount

Account #3
Checking
Savings
Money Market

Avg monthly balance

What is the maximum monthly mortgage payment that you are comfortable with? (This includes Property Taxes and Mortagage Insurance) This will help us determine your maximum pre-approved price range.

Please feel free to list any additional comments below

NMLS# 326484

Licensing

NMLS # 326484
For more information about NMLS
contact nmlsconsumeraccess.org

Citrus Lending
1160 N. Hambletonian Dr.
Hernando, FL 34442

Phone
352-746-4290
866-421-6019

Hours
Mon - Fri 9am - 5pm
Sat. by Appointment Only