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Find a Loan Officer
Purchase
Refinance
Loan Options
About Us
Resources

Contact Us FIND A LOAN OFFICER

Pre-Qualification Application

Which type of loan are you applying for? *

Purchase *

Refinance *

Home Equity *

Home Improvement *

Borrower Information

In order to get started, we need to gather some basic personal information along with choosing whether you'll have a co-borrower.

First Name *

Middle Initial

Last Name *

Suffix

Address *

City *

State *

Zipcode *

Time at Residence *

Years * Months *

Primary Phone *

Mobile Phone

Email *

SSN *

Birth Date *

Years Of School *

Marital Status *

Do you own this residence? *

Yes *

No *

Dependents *

Yes *

No *

No. *

Ages * Enter ages seperated by a comma. eg (16,14)

Comments

By submitting this loan application form, you are giving Alaina Wyrick - Mortgage Loan Officer at Lendgen authorization to run a credit check on your financial history.

Sale Price *

Loan Amount *

Term (Years) *

Loan Status *

Number of Units *

Property Type *

Year Built

Residency Type *

Name #1

Name #2

Are you currently working with a Realtor? *

No *

Yes *

Property Location *

Location Name

Unit

Address *

Address 2

Neighborhood

Zipcode *

City *

County

State *

Realtor Name *

Realtor Company *

Realtor Phone *

Borrower *

Password *

Location *

Location *

Location Name

Unit

Address 2

Neighborhood

County

Latitude

Longitude

Previous Location *

Ethnicity *

Ethnicity *

Hispanic or Latino

Mexican

Puerto Rican

Cuban

Other Hispanic or Latino

Not Hispanic or Latino

I do not wish to provide this information

Ethnicity Other

Race Tribe

Race Asian Other

Race Islander Other

Race *

Race *

American Indian or Alaska Native

Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

White

I do not wish to provide this information

Sex *

Male

Female

I do not wish to provide this information

Sex *

Female *

Male *

I do not wish to furnish this information

Are there any outstanding judgments against you? *

Yes *

No *

Please provide additional details.

Have you been declared bankrupt within the past 7 years? *

Yes *

No *

Please provide additional details.

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? *

Yes *

No *

Please provide additional details.

Are you a party to a lawsuit? *

Yes *

No *

Please provide additional details.

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? *

Yes *

No *

Please provide additional details.

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? *

Yes *

No *

Please provide additional details.

Are you obligated to pay alimony, child support, or separate maintenance? *

Yes *

No *

Alimony

Child Support

Separate Maintenance

Is any part of the down payment borrowed? *

Yes *

No *

Please provide additional details.

Are you a co-maker or endorser on a note? *

Yes *

No *

Please provide additional details.

Are you a U.S. citizen? *

Yes *

No *

Are you a permanent resident alien? *

Yes *

No *

Do you intend to occupy the property as your primary residence? *

Yes *

No *

Have you had an ownership interest in a property in the last three years? *

Yes *

No *

What type of property did you own? *

How did you hold the title to the home? *

Borrower's Initials *

Are you currently employed? *

Yes *

No *

Employment *

I authorize Lender to pull my credit at this time with regards to this application *

Yes *

No *

Co Borrower *

Asset Account *

Asset Real Estate *

Income Other *

Income Monthly *

Agreement One *

Agreement Two *

Agreement Three *

Expense Housing *

Rent

Mortgage

Other Financial

Hazard Insurance

Mortgage Insurance

Real Estate Tax

HOA Dues

Other

Are you working with a loan officer?

Year Acquired *

Original Cost *

Existing Liens *

Current Rate *

Current Loan Type *

Current Lender *

Purpose of Refinance *

Where did you hear about us? *

Referral Source Desc

I do not have a property yet

TCPA Verbiage

Manner

Our mortgage experience is simple and streamlined —

6 Hour Upfront Underwriting Goal
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7 Day Processing goal
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Sun Icon 1 Day Closing goal
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NJ Lenders Corp.

6851 Jericho Turnpike Syosset
NY, 11791 NMLS# 2265580

Find a Loan Officer
Purchase
Refinance
Loan Options
About Us
Resources

LendGen is a dba of NJ Lenders Corp. NMLS ID: 35286 www.nmlsconsumeraccess.org; NJ Lenders Corp. is licensed in the following states: Alabama Consumer Credit License No: 23540; California - License Number 41DBO-170875; Licensed by the Department of Financial Protection and Innovation under the California Residential Mortgage Lending Act; Colorado - Regulated by the Division of Real Estate; Connecticut Mortgage Lender License No. 8566; Delaware – Lender License No. 031935; Florida Mortgage Lender License No. MLD583; Georgia Mortgage Lender License No. 70814. Maryland Mortgage Lender License No. 19642; Massachusetts Mortgage Lender License ML35286; New Hampshire Mortgage Banker License - License/Registration #: 24507-MB; New Jersey Residential Mortgage Lender License No. 9100938. Licensed by the N.J. Department of Banking and Insurance; New York Licensed Mortgage Banker NYS Department of Financial Services Mortgage Banker License No. B500605 and Exempt Mortgage Loan Servicer Registration No. B500605; North Carolina Mortgage Lender License No. L-202120; Ohio Residential Mortgage Lending Act Certificate of Registration No. RM.804990.000; Pennsylvania Mortgage Lender License No. 22105; South Carolina-BFI Mortgage Lender / Servicer License MLS - 35286; Tennessee Mortgage License No. 244997; Texas-SML Mortgage Banker Registration; Virginia NMLS ID No. 35286 (www.nmlsconsumeraccess.org). Virginia Broker License No. MC-3196; Lender License No. MC-3196. District of Columbia Mortgage Lender License MLB35286. Rhode Island Lender License No. 20224433LL; Broker License No. 20224434LB; Washington Consumer Loan Company License No. CL-35286. This information is not a loan commitment or an offer to extend credit as defined by 10 CFR 1026.2. Program rates, loan terms and conditions are subject to change at any time and may vary based on the individual borrower's eligibility and credit history. NJ Lenders Corp. is an Equal Housing Lender. For more information please visit our License Page