Log In  |  Contact Us  |  Help
Processing...
Short Application
In order to complete the prequalification review you have requested, we need to collect preliminary information about your income, assets, and credit history. We will not provide you with a credit decision as a result of this prequalification review. Information from the credit bureaus will allow us to provide you a better estimate of the mortgage size and program that you could reasonably support. We may request supplementary information in order to respond to your request. Once you have received the prequalification review, we sincerely encourage you to apply for a mortgage loan. A loan decision cannot be made until we receive a complete mortgage application and obtain and verify applicable supporting documentation.
Personal Information
*First Name:
Middle Name:
*Last Name:
*Email:
*Referral Name:
Home Phone:
( ) -
*Cell Phone:
( ) -
Work Phone:
( ) - Ext.
*Marital Status:
*Are you a U.S. citizen?
*Date of Birth:
 (mm/dd/yyyy)
*Social Security or Tax ID #:
- -
*Credit Check Authorization:
Number of Dependents:
Dependent Age(s):
Separate ages by commas.
 
Current Address
*Street Address:
*City:
*State:
*Zip:
-
*Years at this Address:
 Years     Months
*Rent or Own:
 
Previous Address
Street Address:
City:
State:
Zip:
-
Years at this Address:
 Years     Months
Rent or Own:
 
Subject Property
Purpose of Loan:
Please Specify  
Property Usage:
Purchase Price:
$  
Number of Units:
 
Year Built:
City:
State:
We only accept applications for the states listed.
Zip:
-
 
Monthly Income
Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
*Monthly Base Income:
$
Bonuses:
$
Commission:
$
Other Income:
$
 
Assets
Checking:
$
Savings:
$
Retirement Funds:
$
Mutual Funds:
$
Other:
$
Co-Borrower
Do you have a co-borrower?  
* = Required

Submit

Cancel

Rick Vega, Loan Originator NMLS #1492084
AmCap Mortgage, Ltd.
7450 West 130th Street Ste. 200, Overland Park, KS  66213
Direct:  (913) 353-2575
Office:  (913) 942-0186
rick.vega@myamcap.com
Copyright © 2018 AmCap Mortgage, Ltd.,
NMLS ID# 129122 (www.nmlsconsumeraccess.org)
Equal Housing Lender.
Internet Privacy Policy  | Security Statement  |  Site Map