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Preapproval Application

If you are looking for a pre-approval, please complete this form. Remember, this is a secured site and your information will be kept strictly confidential. This site is SSL-encrypted for secure transmission of your personal information.

Which of the following statements best describes your current mortgage situation/goals? Please select one:
	I am currently renting and would like to know how much of a mortgage I can afford.
	I want to make an offer on a property and need to be pre-approved.
	I want to lower my current interest rate or term, and would like to learn more about my options in refinancing.

Purchase Price:

Loan Amount:

Real Estate Taxes:

Mortgage Type:

30 Year Fixed

15 Year Fixed

ARM

Loan Type:

Purchase

Refinance

Last Name:

First Name:

Address:

City/State/Zip:

Work Phone:
(with Area Code)

Home Phone:
(with Area Code)

E-Mail Address:

(Please provide your complete e-mail address: name@domain.com)

Age:

Social Security:

Employer Name:

Position:

Monthly Gross Income:

Liquid Assets:
(cash in bank)

Non-Liquid Assets:
(stocks, bonds, etc.)

Retirement Funds:
(401k's etc...)

Estimated Down Payment:

Referred By:

By submitting this form, I and/or we give permission to Pittsburgh Financial Network to obtain my and/or our credit reports for the purpose of evaluating our eligibility for Pittsburgh Financial Network programs.