"Words cannot express how thankful and grateful I am for being referred to you.. Ms. Stackhouse
AMBASSADORS REALTY
CONTACT ME NOW
704.620.7457
"REPRESENTING YOUR INTEREST IS OUR MISSION"
1914 JN Pease Place, Charlotte North Carolina 28262
Office: 704/620-7457  Fax: 704/596-5107
PRE-QUALIFICATION  APPLICATION
Applicant #1 Information
Your name:
Current address:
Home Address:
Phone number:
Previous address:
Rent/Own:
How Long:
Monthly Payment/Rent:
Your SSN#:
Your birthdate:
Your Employer Name:
Your Employer Address:
Your Employer's number:
Monthly Wage:
Position:
How Long Employed:
Applicant #2 or Spouse's Information, If married
Your name:
Home number:
Your cell number:
Current address:
Previous address:
Rent/Own:
Monthly Payment/Rent:
Your SSN#:
Your birthdate:
Your Employer's Name:
Your Employer's Address:
Your Employer's number:
Monthly Wage:
Position:
How Long Employed:
EXPENSE DATA
Overall Credit:
Do any of these apply?                                       Please give brief details.
Judgements:
Bankruptcy:
Repossessions:
Credit Debt:
Eviction:
Foreclosure:
Student Loans:
Medical Bills:
Alimony/Child Support Payment:
Late Account within last 12 mos:
I authorize via electronic signature, the verification of the information provided on this application
as to my credit, employment and references.
Electronic Signature of Applicant #2:
Type Your Full Name Here
Electronic Signature of Applicant #1:
Type Your Full Name Here
DONNA MINER

AGENT ON DUTY
How much home you can afford?  What a great time to find out!  With so many great deals, tax incentives
and first-time home buyer programs available - now is a great time to buy.  Simply fill out the application
below.  This process takes less ten minutes.  Your information is confidentially submitted to an
experienced lender who will assess your information and advise you of the results in 24 hours at no
charge!   It's really that simple!  Give it a try!
We are totally committed
to our client's needs, and  
work hard to help them
realize their dreams as if
they were our own.