Prequalification Form

Fill out the prequalification form below.

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You Are Buying *

A New Home

A Pre-owned Home

Borrower Information:

Full Name *

Date Of Birth *

Month

Day

Year

Marital Status *

Single

Married

Phone # *

Other Phone #

E-Mail *

Address *

City *

State *

Zip *

Current Employer

Address

City

State

Zip

Phone #

Your Position / Title

Years Employed

Gross Monthly Income

Previous Employer (If Less Than 2 Years)

Address

City

State

Zip

Phone #

Your Position / Title

Years Employed

Other Income

Gross Monthly Income

Down Payment *

Amount Owed On Your Land, If Owned

Obligations: List All, Include Monthly Payment Estimate

Were You Ever Bankrupt *

Yes

Do You Have Any Judgements *

Yes

Describe Your Credit History *

Excellent

Good

Fair

Poor

Co-Signer (If Applicable):

Full Name

Date Of Birth

Month

Day

Year

Marital Status

Single

Married

Phone #

Other Phone #

E-Mail

Address

City

State

Zip

Current Employer

Address

City

State

Zip

Phone

Your Position / Title

Years Employed

Gross Monthly Income

Previous Employer (If Less Than 2 Years)

Address

City

State

Zip

Phone

Your Position / Title

Years Employed

Gross Monthly Income

Other Income

Down Payment

Amount Owed On Your Land, If Owned

Obligations: List All, Include Monthly Payment Estimate

Were You Ever Bankrupt

Yes

Do You Have Any Judgements

Yes

Describe Your Credit History

Excellent

Good

Fair

Poor

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Twin Lakes Homes, Inc.
P.O. Box 659
11958 Rt. 16
Yorkshire, NY 14173
(716) 492-1480
(716) 496-8240
Toll Free (800) 834-1480

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