Home Mortgage NC

Turning your dream home into reality

Apply for your prequalification now

Mortgage Quick Application

Please fill out the form below to receieve your free prequalification!  If you would prefer to complete this process over the phone please call
919-795-5622.

Applicant Information

First Name:     Last Name:
Address Street 1:
Address Street 2:
City:      State:      Zip Code:
Home #:     Cell:
Fax #:  
Email:
SSN:     DOB:
How long at present address:       Own   Rent

Employment Information

Employer:
Address:
City:      State:      Zip:
Position/Title:
How long at current position:      Current Income:  
If less than 2 years - Previous Employer:
Where:
How long:    Income:

Financial Information

Checking With:          Checking Balance: 
Savings With:          Savings Balance:   
IRA/401K:           IRA/401K Balance:

Co-Applicant Information

First Name:      Last Name: 
SSN:      DOB:
Cell:

Employment Information

Employer:
Address:
City:   State:   Zip:
Position/Title:
How long at current position: Current Income:
If less than 2 years - Previous Employer:
Where:
How long: Income:

Financial Information

Checking With:          Checking Balance:
Savings With:          Savings Balance:  
IRA/401K:           IRA/401K Balance:

Comfort Range

Downpayment: None   Percentage:   Amount:

Other Information

Comments:
I authorize Home Mortgage NC to verify
my credit and employment history.