Normandy Consumer Construction Loan

Pre-Qualification for Construction to Permanent Financing, Owner Occupied, Single Family Residence

SUBMISSION OF THIS FORM IS FOR PRE-QUALIFICATION PURPOSES ONLY AND NOT INTENDED TO BE USED AS A LOAN APPLICATION

To pre-qualify, please complete information below which will include allowing Normandy to obtain your credit report. If you do not want to provide this information over the internet, please feel free to contact us at 585-256-2600 or 800-390-7536.

Loan Amount Requested: $

Borrower Information:
First Name:
Last Name:
Current Address Street:
City:
State:
ZIP:
Social Security #:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Preferred Contact Method:
Employment Information:
Self Employed:	Yes No
Occupation:
Gross Monthly Income: $
Total Assets (include checking, savings, 401k, IRA, Stocks, Other): $

CoBorrower Information:
First Name:
Last Name:
Current Address Street:
City:
State:
ZIP:
Social Security #:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
Preferred Contact Method:
Employment Information:
Self Employed:	Yes No
Occupation:
Gross Monthly Income: $
Total Assets (include checking, savings, 401k, IRA, Stocks, Other): $

Property Information:
Do you own the lot? Yes No

If yes, purchase price of lot: $ Year Purchased:

Balance owed on lot: $ Size of Lot: sq ft or acres

If no, estimated purchase price of lot: $

Estimated cost to build (excluding lot) $

Estimated completed value of home: $

Square Footage of home:

Do you have building permits: Yes No

Construction start date (mm/yy):

Construction Type:

Builder Selected? Yes No

How is your credit?:

Do you know your credit score?: Yes No If yes, Borrower mid score: CoBorrower mid score:

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Your information will be transmitted using encryption technology (or coded) to keep your personal information secure.

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