PreAppForm | FirstUnitedMortgage

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FIRST UNITED MORTGAGE, LLC

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First Name

Last Name

Phone Number

Email

Current Address

Previous Address (Must Have 2 Year History)

Current Employer

Previous Employer (Must Have 2 Year History)

Estimated Gross Monthly Income

Estimated Assets (Checking/Savings)

Bankruptcy/Foreclosure within 7 years?

Yes

No

Currently a party in a lawsuit?

Yes

No

Obligated to pay Child Support/Alimony?

Yes

No

US Citizen

Yes

No

Do you intend to occupy the property as your Primary Residence?

Yes

No

Co-Borrower First Name

Co-Borrower Last Name

Co-Borrower Phone Number

Co-Borrower Email

Co-Borrower Current Address

Co-BorrowerPrevious Address (Must Have 2 Year History)

Co-Borrower Current Employer

Co-BorrowerPrevious Employer (Must Have 2 Year History)

Co-Borrower Estimated Gross Monthly Income

Estimated Assets (Checking/Savings)

Bankruptcy/Foreclosure within 7 years

Yes

No

Currently a party in a lawsuit?

Yes

No

Obligated to pay Child Support/Alimony?

Yes

No

US Citizen

Yes

No

Do you intend to occupy the property as your Primary Residence?

Yes

No

Contact Number:816-896-0899

NMLS: 987708 MO: NO: 11-384

Company ID: 272306 KS: NO.MC.0002142

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