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Pre-Qualification
Our short Pre-Qualification form is an easy and fast way to find out what you may qualify for. Please provide the following information.
Personal Information
First Name:
Middle Name:
Last Name:
Email:
Referral Name:
Home Phone:
( ) -
Cell Phone:
( ) -
Work Phone:
( ) - Ext.
Marital Status:
Are you a U.S. citizen?
Date of Birth:
 (mm/dd/yyyy)
Social Security or Tax ID #:
- -
Credit Check Authorization:
Number of Dependents:
Dependent Age(s):
Separate ages by commas.
Loan Officer:
   How did you hear about us?
Please Specify: 
 
Current Address
Street Address:
City:
State:
Zip:
-
Years at this Address:
 Years     Months
Rent or Own:
 
Previous Address
If you have resided at your current residence for less than 2 years please provide previous address.
Street Address:
City:
State:
Zip:
-
Years at this Address:
 Years     Months
Rent or Own:
 
Monthly Income
Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
Base Income:
$
Bonuses:
$
Commission:
$
Other Income:
$
 
Assets
Checking:
$
Savings:
$
Retirement Funds:
$
Mutual Funds:
$
Other:
$
* Privacy Policy:

Level One Bank Privacy Policy

Effective 09/2016 

The Privacy Policy describes how Level One Bank collects, processes, transfers and stores customer data. It explains the kind of personal information we collect and may share about you, and how we protect your information.  We take the responsibility of protecting your personal information very seriously. Click here to review our Privacy Policy.

Co-Borrower
Do you have a co-borrower?  
* = Required

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