Carolina Homes

Borrower

Please answer the following questions as accurately as possible, this information will be used in pre-qualification for a mortgage loan. By omitting information the terms of the pre-approval will change. Also by signing this form, both applicants allow Carolina Custom Homes LLC to obtain a credit report.

Borrower name

E-mail

Phone

Social security number

Date of birth

Present address

City

State

Zip

Where do you work?

How long have you worked there?

If less than 2 years please provide dates of previous employment

How did you get paid? (tick all that apply)

Hourly Salary Commission

How much did you get paid (before taxes)?

Paid

How much money would you like to put down on this property?

Are you married?

Do you currently own a home?

Have you ever declared bankruptcy or been foreclosed upon?

Yes No

I, the applicant for this online prequalification form, warrant the truthfulness of the information provided on this application. I understand that typing my name below constitutes a legal signature.

Signed

Financing

Fill out our Pre-qualification app online!

Borrower