AmeriCom Financial
We provide the easiest and fastest mortgage approval process on the internet!!
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This form will give your loan officer the initial information necessary to completely prequalify you for an approval for your purchase or refinance. Your information will be used in the most discreet and secure fashion. A Good Faith Estimate will be sent the same day or first thing the next business day of receipt of your information.

 

 
   Property Information
  Address:  
  City:  
  State:  
  ZIP:  
  County:  
  Property Type:  
  Year Built:  
  Property Value:  
$
     
 
   New Loan Information
  Purpose of Loan:  
  New Loan Amount:  
$
  New Loan Type Desired:  
  Occupancy Type:  
     
 
     
 
   Existing Loan Information
  Original Purchase Price:  
$
  Year Acquired:  
  Amount Owed on 1st Mortgage:  
$
  Current 1st Mortgage Type:  
  Current Interest Rate:  
%
  Current 2nd Mortgage Type:  
  Current 2nd interest Rate:  
%
  Property taxes, Annual:  
$
  Homeowners Insurance, Annual:  
$
  Association Dues, Monthly:  
$
     
 
     
 
   Borrower Information
  First Name:  
  Last Name:  
  Social Security Number:(xxx-xx-xxxx)  
  Date of Birth     Month Day Year
  Email:  
  Address (Residence):  
  City:  
  State:  
  ZIP:  
  Home Phone:(xxx-xxx-xxxx)  
  Work Phone:(xxx-xxx-xxxx)  
  Mobile Phone:(xxx-xxx-xxxx)  
  Fax:(xxx-xxx-xxxx)  
     
 
   Borrower Employment
  Current Employer:  
  Years on job:  
  Gross Yearly Income:  
$
  Previous Employer (if < 2 years):  
  Start Date:(mm/dd/yyyy)  
  End Date:(mm/dd/yyyy)  
     
 
   Borrower Assets
  Current Checking Acct. Balance:  
$
  Checking Acct. Bank Name:  
  Checking Account Number:  
  Current Savings Acct. Balance:  
$
  Savings Acct. Bank Name:  
  Savings Account Number:  
  Investment Acct. (# 1) Company Name:  
  Investment Account (# 1) Balance:  
$
  Investment Account (# 1) Number:  
  Investment Account (# 2) Company Name:  
  Investment Account (# 2) Balance:  
$
  Investment Account (#2) Number:  
  401K Account Company Name:  
  401K Account Balance:  
$
  401K Account Number:  
     
 
   Borrower Debt
  Auto (#1) Bank Name:  
  Auto (#1) Monthly Payment:  
$
  Auto (#1) Balance Remaining:  
$
  Auto (#2) Bank Name:  
  Auto (#2) Monthly Payment:  
$
  Auto (#2) Balance Remaining:  
$
  Credit Card (#1) Bank name:  
  Credit Card (#1) Account Number:  
  Credit Card (#1) Payment:  
$
  Credit Card (#1) Balance Remaining:  
$
  Credit Card (#2) Bank name:  
  Credit Card (#2) Account Number:  
  Credit Card (#2) Payment:  
$
  Credit Card (#2) Balance Remaining:  
$
  Credit Card (#3) Bank name:  
  Credit Card (#3) Account Number:  
  Credit Card (#3) Payment:  
$
  Credit Card (#3) Balance Remaining:  
$
  Student Loan Amount:  
     
 
     
 
   Co-Borrower Information
  First Name:  
  Last Name:  
  Social Security Number: (xxx-xx-xxxx)  
  Email:  
  Address (Residence):  
  City:  
  State:  
  ZIP:  
  Home Phone:(xxx-xxx-xxxx)  
  Work Phone:(xxx-xxx-xxxx)  
  Mobile Phone:(xxx-xxx-xxxx)  
  Fax:(xxx-xxx-xxxx)  
     
 
   Co-Borrower Employment
  Current Employer:  
  Years on job:  
  Gross Yearly Income:  
$
  Previous Employer (if < 2 years):  
  Start Date:(mm/dd/yyyy)  
  End Date:(mm/dd/yyyy)  
     
 
   Co-Borrower Assets
  Current Checking Acct. Balance:  
$
  Checking Acct. Bank Name:  
  Checking Account Number:  
  Current Savings Acct. Balance:  
$
  Savings Acct. Bank Name:  
  Savings Account Number:  
  Investment Acct. (# 1) Company Name:  
  Investment Account (# 1) Balance:  
$
  Investment Account (# 1) Number:  
  Investment Account (# 2) Company Name:  
  Investment Account (# 2) Balance:  
$
  Investment Account (#2) Number:  
  401K Account Company Name:  
  :401K Account Balance:  
$
  401K Account Number  
     
 
   Co-Borrower Debt
  Auto (#1) Bank Name:  
  Auto (#1) Monthly Payment:  
$
  Auto (#1) Balance Remaining:  
$
  Auto (#2) Bank Name:  
  Auto (#2) Monthly Payment:  
$
  Auto (#2) Balance Remaining:  
$
  Credit Card (#1) Bank name:  
  Credit Card (#1) Account Number:  
  Credit Card (#1) Payment:  
$
  Credit Card (#1) Balance Remaining:  
$
  Credit Card (#2) Bank name:  
  Credit Card (#2) Account Number:  
  Credit Card (#2) Payment:  
$
  Credit Card (#2) Balance Remaining:  
$
  Credit Card (#3) Bank name:  
  Credit Card (#3) Account Number:  
  Credit Card (#3) Payment:  
$
  Credit Card (#3) Balance Remaining:  
$
  Student Loan Amount:  
$
 
 

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AmeriCom Financial Corporation
7905 West Ford Drive
Lakewood, CO 80226
Phone: (303) 986-3320
Fax: (303) 986-3314
Toll Free: 1-877-900-1900
Email: info@americomloans.com