Mortgage Prequalification Application
Personal Information
  Primary Applicant Information Click Here for Joint Applicant Information
First Name:       
Middle Initial:    
Last Name:       
Social Security Number:       
Date of Birth:      Must be 18+ years of age  Must be 18+ years of age.
Email Address:       
Verify Email Address:       
Home/Cell Phone Number:       
Work Phone Number:    
Years at Current Residence:       
Own/Rent/Other:    
Current Address:       
City:       
State:    
Zip:       
Current Employer:       
Position or Title:       
Number of Years With Current Employer:       
Prior Employer:  
If Employed less than 2 years with current employer.
 
If Employed less than 2 years with current employer.
Number of Years in Similar Line of Work:  
If Employed less than 2 years with current employer.
 
If Employed less than 2 years with current employer.
Gross Monthly Income:     
Exclude Commissions, Bonus, Overtime Etc.
 
Exclude Commissions, Bonus, Overtime Etc.
Additional Monthly Income:  
Include commission, bonus, overtime, child support/alimony, etc. Child support, alimony or separate maintenance income need not be revealed if you do not wish to have it considered for repayment
 
Include commission, bonus, overtime, child support/alimony, etc. Child support, alimony or separate maintenance income need not be revealed if you do not wish to have it considered for repayment
Total Monthly Income:    
Please select the county the property being financed will be located:     

Total of Monthly Debt Payments
Home Equity Loan(s):  
Auto Loan(s):  
Credit Card(s):  
Student Loan(s):  
Alimony/Child Support:  
Other:  
Total Debt $:  
Proposed Loan Amount:    
Name of Lender:  
  If applicable, name of the lender you are currently working with on this request.

The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

By submitting this prequalification form you are providing an electronic signature(s) and you expressly authorize The Vinton County National Bank to:

  • Check your credit and employment history
  • Contact you at any phone number or email address provided for purposes of fulfilling this prequalification inquiry
   

Promo Code:  
Applicant Typed Signature:     
Date:
    
Co-Applicant Typed Signature:  
Date:
 
 

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