Pre-Approval Application

Please complete the information for the borrower and co-borrower in its entirety:
Application Information Borrower   Co-Borrower
First Name & Middle Initial
Last Name
Social Security Number
Home Phone
(including area code)
Business Phone
(including area code)
E-mail Address
Present Address - street
Present Address - city, state, zip
Rent or Own
Number of Years
Years of employment at current job
Years employed in current line of work
Work / Profession
Are you self-employed?

Gross Monthly Income Borrower   Co-Borrower

Base
Overtime
Bonuses
Commissions
Dividends / Interest
Net Rental Income
Other**

TOTAL:
**Notice:  Alimony, child support, or separate maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for repaying this loan.

Estimated Monthly Debt Borrower   Co-Borrower

Auto Loans
Personal Loans
Student Loans
Credit Cards
Alimony / Child Support

TOTAL:
Estimated funds available for down payment, closing costs and reserves

      Loan Information

Purpose of loan

Property will be

Number of Units

Subject property address (if available)
Street

City, State, Zip

Sales price / Property value

Loan Amount

Number of years

Loan Type

Interest Rate Expected

A major factor in getting pre-approved is a full mortgage credit report.  Please initial the following box if you DO want us to order your credit report.

Initials:

When you have completed this application, you may print it and fax or mail the application instead of submitting it over the internet.  Just click on the print icon in your browser.

Fax to: (978) 345-5057
  or
Mail to: Central Massachusetts Mortgage, Inc.
977 South Street
Fitchburg, MA 01420
Before sending this application over the internet, you must review the Privacy Disclosure from Central Massachusetts Mortgage, Inc. Once you have read the disclosure, simply select the checkbox and press the "Submit" button.

I have read and accept the Privacy Disclosure: