1. Andrew Biro
Sr Mortgage Banker
NMLS ID #742327
Direct: (314) 221-0292
Fax: (314) 375-5182
abiro@flat-branch.com
Pre-Qualification Application
Please Fax To: 314-375-5182
Attention: Andrew Biro
Loan Information =============================================================
Sale Price Loan Amount Funds Available for
Of New Property $ _____________Requested $ _____________ Down Payment & Closing Costs $ _______________
General =====================================================================
Borrower ___________________________________ D.O.B. _________ SSN# ________________ Veteran: Yes / No
Address ___________________________________________ City ____________________ State _____ Zip __________
___Rent ___Own How Long at this address ________________ Monthly Rent / Mortgage Payment $ ___________
Home Phone _________________ Cell Phone _________________ E-Mail ____________________________________
Co- Borrower ________________________________ D.O.B. _________ SSN# ________________ Veteran: Yes / No
Address ___________________________________________ City ____________________ State _____ Zip __________
___Rent ___Own How Long at this address ________________ Monthly Rent / Mortgage Payment $ ___________
Home Phone _________________ Cell Phone _________________ E-Mail ____________________________________
Income =====================================================================
Borrower’s Employer ___________________________________________ Position ___________________________
Employer Address:___________________________________________________________________________________
Work Phone ____________________________ Length of Employment _________________ Self Employed Yes / No
Monthly Gross Income $ _________________ Child Support / Alimony, etc.* ______________ Amount $ _________
Co-Borrower’s Employer ___________________________________________ Position ________________________
Employer Address:___________________________________________________________________________________
Work Phone ____________________________ Length of Employment _________________ Self Employed Yes / No
Monthly Gross Income $ _________________ Child Support / Alimony, etc.* ______________ Amount $ _________
* other sources of income need not be revealed if you do not wish to have it considered for repaying a loan.
Debts =======================================================================
Name of Creditor Mo. Payment Name of Creditor Mo. Payment
Auto ____________________________ $ ____________ Student Loan _____________________ $ ____________
Auto ____________________________ $ ____________ Other ___________________________ $ ____________
Credit Card ______________________ $ ____________ Other ___________________________ $ ____________
Credit Card ______________________ $ ____________ Other ___________________________ $ ____________
Have you filed for Bankruptcy in the past (7) years ? Yes / No If Yes, When __________________________________
I / We certify that the information provided above is accurate to the best of my / our knowledge. I fully understand that the credit report will be
for internal use by Flat Branch Home Loans. I / We authorize Flat Brnahc Home Loans to obtain a credit report.
_______________________ _______________________ ___________________ ___________________________
Borrower Signature Date Co-Borrower Signature Date
Flat Branch Home Loans
16150 Main Circle Dr., Suite 220 Chesterfield, MO 63017
Direct: (314) 221-0292 Fax: (314) 375-5182
www.STLHomeFinancing.com
Email: abiro@flat-branch.com