Normandy Pre-Qualification for Residential Lot/Land Loan Form

Pre-Qualification for Residential Lot/Land Loan

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:

Loan Term Requested:

Purpose of Loan: Purchase Refinance

Balance Owed on Lot: $

Lot Purchase Price: $

Approved Building Lot: Yes No

Located in a Subdivision: Yes No

Public Water: Yes No

Public Sewer: Yes No

Estimated Construction Start Date:

Anticipated square footage of the Home:

Lot Size:

How is your credit?:

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

Did you find Normandy through a search on Yahoo, Google, MSN, AOL or Other?

I (Borrower) hereby authorize Normandy Corporation to order and obtain my credit report for the purpose of inquiry/pre-qualification.

I (Co-Borrower) hereby authorize Normandy Corporation to order and obtain my credit report for the purpose of inquiry/pre-qualification.

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

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