Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

Country

(###)

###

####

Current Adress *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Marital Status *

Single

Married

Divorced

Widowed

Are you applying with a co-borrower? *

Yes

No

Employment Status: *

Employed

Self-Employed

Investor

Retired

Do you have gift funds for your down payment? *

Yes

No

Have you ever declared bankruptcy? *

Yes

No

Any late payments on credit accounts in the past 2 years? *

Yes

No

Type of Loan Needed *

Conventional

FHA

VA

Jumbo Loans

Refinance Loans

Other

Preferred Loan Term *

15 years

30 years

Other

Interest Rate Preference: *

Fixed

Adjustable

No Preference

Expected Closing Timeline: *

ASAP

1-3 Months

3-6 Months

6+ Months

By submitting this form, I authorize Apex4K to obtain and review my credit report for mortgage pre-approval purposes. I understand this is a preliminary assessment and does not guarantee loan approval. *

Yes