Contact Info

Request For Pre-Qualification

Residential Information

Pre-Qualification Request Type

Other Pre-Qualification Inquiry

Borrower Information

Borrower Income Information

Co-Borrower Information

Co-Borrower Income Information

Asset Information

Liability Information

Signature and Authorization

Signers

Let's start with a little information about you.

First Name * Required

Middle Name Required

Last Name * Required

Email Address * Required

Confirm Email Address * Required

Address Line 1 * Required

Address Line 2

City * Required

State * Required

Zip * Required

Date of Birth *Invalid Date

Social Security Number *Required

Phone Number *Required

This is not an application for a mortgage loan. The information provided is to be used to determine the likelihood that the named borrowers will be able to obtain a mortgage loan for the purpose of purchasing a primary residence, a second home or land. Additionally, the information provided can be used to determine the loan amount that the named borrowers may be able to qualify for. This pre-qualification is based upon preliminary unverified information, which although deemed to be reliable, is not guaranteed to be correct. A final loan decision cannot be made until a complete mortgage application and supporting documentation is received and verified.

Are you a previous or existing Pilgrim Bank customer? * Required

We generally do not accept loan applications from outside our trade area unless they are an existing Customer. Please contact a local branch directly to discuss your loan needs.

Pre-Qualification Request Type

Is this pre-qualification request for a purchase transaction? * Required

What is the purchase type? Required

What is the proposed loan amount for the purchase transaction? Required

$

What is the amount of down payment? Required

$

This is for non-purchase transactions where you are asking to pre-qualify for a loan amount (how much can I afford?)

Borrower Information

Will there be a co-borrower? * Required

Borrower Home Phone * Required

Borrower Work Phone * Required

Borrower Employer * Required

Borrower Title/Position * Required

Borrower Years at Employer * Required

Annual Income Information Required

Borrower Base Salary * Required

$

Borrower Overtime Required

$

Borrower Bonus Required

$

Borrower Commissions Required

$

Borrower Other Income Required

$

Borrower Total Income * Required

$

Co-Borrower Information

Annual Income Information Required

Asset Information - Borrower (include Co-Borrower, if applicable)

Checking & Savings Required

$

Investments & Retirement Required

$

Homestead Required

$

Other Real Estate Required

$

Personal Property Required

$

Other Assets Required

$

Total Assets Required

$

Liability Information - Borrower (include Co-Borrower, if applicable)

Credit Cards Required

$

Auto Loans Required

$

Home Loans Required

$

Other Real Estate Required

$

Other Loans Required

$

Total Liabilities Required

$

I hereby authorize Pilgrim Bank to order a consumer credit report. The information Pilgrim Bank obtains is only to be used for mortgage pre-qualification purposes and potential subsequent processing of my application for a mortgage loan. We may order an appraisal to determine the property’s value and charge you for this appraisal. We will promptly give you a copy of any appraisal, even if your loan does not close. You can pay for an additional appraisal for your own use at your own cost.

Borrower Date * Required

Create and assign signers for signature roles.

Applicant * Required

Co-Applicant * Required

All Signers

Please read and accept the privacy policy to continue.

Version 26.2.0.76