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American Capital Mortgage, Inc.
2233 Ebco Drive
Suite 1 - West Entrance
Erie, PA 16506

Licensed by the Pennsylvania Department

of Banking and the Ohio Department

of Commerce.

 
 

 

Easy Pre-Approval Application

    Purchase
    Refinance
 

 

 Investment
 

 

   Borrower Information   Co-Borrower Information
 

Last Name/First Name/M.I

    
 

Home Phone/ Work Phone

    
 

Social Security Number

    
 

Marital Status

    
           
 

Current Address

    
 

 

    
 

City/State/Zip

    
 

Length At Present Address

    
 

Previous Address

(If less than 2 years)

    
  Previous City/State/Zip    
           
 

Job Title / Position

    
 

How Long?

(If less then 2 years please list prior)

    
  Job Title / Position    
       
  Please provide additional employment information for the past two years (check as applicable):
 

Were you employed by more than 2 employers in the past 2 years?

   Yes No   Yes No
  Have they been in the same line of work?   Yes No   Yes No
 

Were there gaps of employment of more than one month?

   Yes No   Yes No
  If you answered yes to any of the above, please give a detailed explanation:
 

 

    

Disclosure Statement

Under Reg. (Z) of the Real Estate Settlement Procedure Act (RESPA), a Truth-in-Lending Disclosure Statement must be sent to the applicant within 3 days after the application has been taken. I/We understand completely that we are only applying for a pre-approval of a loan amount, and not a Real Estate Mortgage at this time, and that a Truth-in-Lending disclosure will be forwarded within 3 days of a formal mortgage application.


 By checking one of the following you are agreeing that you understand the terms and conditions of this pre-approval application.

 

Yes, I/we agree and understand these terms and conditions No
 

Monthly Earnings

(Alimony, child support or separate maintenance does not need to be revealed f you do not want it considered by the creditor in determining creditworthiness.)
           
      Borrower Information   Co-Borrower Information
  Base Employment Income    
  Overtime*    
  Bonuses*    
  Other Income*    
  * indicates in order to claim amount you must have received it for at least 2 consecutive years.
  Mortgage Program   30 Year Fixed15 Year FixedARMOther
  Conventional Down Payment   0%-5%5%-10%10%-20%20% or more
  How would you rate your credit?   PerfectGoodFairPoorDon't know

Agreement

I hereby certify that I have applied to American Capital Mortgage, inc. (herein referred to as “Lender”) for a pre-approval of a monthly housing payment. I have provided information to Lender including current and past employment history, my current income and my assets and liabilities. I certify that all of the information I have provided in this application is true and complete, and that I made no misrepresentations, nor did I omit any pertinent information. I authorize Lender to obtain a credit bureau report on me and to verify, either directly or through a credit reporting agency, any of the information contained in my application or received from a third party. I understand that if Lender approves my application, Lender’s approval will be made subject to verification of the information contained in this application through a credit report and other means available to Lender.
 

I agree and understand these terms and conditions I do NOT Agree
  Were you referred to a specific loan officer?   Yes No    
           
  If you were referred to a specific loan officer please select their name. If you do not know or do not remember please select “I don’t know” from the following.