Mortgage Prequalification Application | Easy as 1-2-3

 
Personal Information
 
If presiding at present address for less than two years, please complete the following
 
 
Employment Information
 
Notice: Alimony, child support, or separate maintenance income need not be revealed if the applicant or co-applicant does not want to include it in the total household income
 
 
If employed in current position for less than two years, please complete the following
 
 
Credit Information
 
Please list all debts separately. Indicate in the last block whether the debt belongs to the Applicant or Co-Applicant.
 
Authorization to release information
I/We hereby authorize the release to Coldwell Banker Active Real Estate, or its assigns, of any and all informatin they may require at any time for any purpose related to our application. I/We authorize Coldwell Banker Active Real Estate, or its assigns, to release information to any entity further they deem necessary for any purpose to the transaction of this application.

I/We further authorize Coldwell Banker Active Real Estate, or its assigns, to contact and make inquiries of my/our lenders, creditors, landlords, employers, and other persons deemed necessary and appropriate by Coldwell Banker Active Real Estate, or its assigns, to obtain or verifty information for the purpose related to my prequalification application.
Hold Harmless Disclaimer
I/We release Coldwell Banker Active Real Estate, and its trusees, officers, directors, employees, and agents (collectively, the "Indemnified Parties") from any liability of damages resulting from such contacts and inquiries.

I/We agree to indemnify and hold harmless the Indemnified Parties from and against any liability, claims, damages, costs, and expenses (including attorney fees and costs) incurred by or asserted against any of them as a result of this application.
Credit Report
I/We herby authorize Coldwell Banker Active Real Estate to obtain my/our credit report for a fee of $25.00 per person.
Applicant's Aggreement
The undersigned understands that this applicatin has been prepared soley for determining mortgage eligibility. Any false statements or misrepresentation made of this application are cause for rejection. The applicant agrees that all information included in the application is valid, honest, and complete.