Prequalification Questionnaire

Pre-Qualification Questionnaire

Name*

Current Address

Social Security Number*

Date of Birth

How Long At Current Address

Do You Own Or Rent

If Less Than 2 Years Provide Previous Address

Current Employer

Title

Years at Job

Amount Annual Salary

Previous Employer If Less Than 2 Years or Second Job

Amount Annual Salary

Current or Past Military Service (Y/N)

Contact Method- Phone

E-Mail*

Co-Borrower:

Name

Current Address

Social Security Number

Date of Birth

How Long At Current Address

Do You Own Or Rent

If Less Than 2 Years Provide Previous Address

Current Employer

Title

Years at Job

Amount Annual Salary

Previous Employer If Less Than 2 Years or Second Job

Amount Annual Salary

Current or Past Military Service (Y/N)

Purchase Property Address (If Available)

Purchase Price (Estimate)*

Desired Down Payment Amount ($)*

Peak Finance Company is authorized to use the above information for the purposes of performing a credit check. Credit check authorization on this form does not constitute an application for a mortgage or other forms of credit. This is not a commitment to lend.

Required *

Solutions for the Nevada Marketplace

Solutions for Florida Marketplace

Prequalification Questionnaire

Pre-Qualification Questionnaire

Co-Borrower: