Pre- Qualification Credit Application

To see if you pre- qualify to purchase a home from Magnolia Estates Home Center, complete the following form. The information will be used to pull your Equifax credit file.

First Name: * Last Name: * Mailing Address: * City, State, Zip * E- Mail * Current Living Situation * Select an option:Home OwnerRenterLiving with family/ friendOther Phone Number * Social Security Number * Date of Birth *

Marital Status * Place of Employment * Length of Employment * Monthly Pay Before Taxes * Your Co- Applicant Co-Applicant Social Security Number Co- Applicant Date of Birth

Desired Monthly Payment Do you own your own land? * Land in Place of Cash Down * Available Down Payment * Multi or Single Sectional Home Best Time to Call Will you provide ethnic information? YesNo Race Gender MaleFemale Electronic Signature *

Date: Saturday, 21 September 2019 (EDT)

Name:

Type your name to sign this document:

Typing name is equivalent to a handwritten signature

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Co-Applicant Electronic Signature Comment Section (If you spoke with a salesman please list name below)

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