Melinda Potcher - Trinity Mortgage

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Find out how much home you can qualify for by completing the form below:

"I would like information on the following:" (Check all that apply)

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Applicant's name *
Co-Applicant's name
Mailing address *
City, State, Zip *
Daytime Phone *
Evening Phone (optional)
E-Mail address *
Applicant's Social Security number *
Co-Applicant's Social Security number
Applicant's DOB *
Co-Applicant's DOB

Present Employment:
Applicant's Employer *
Applicant's Yearly Income *
Applicant Employment Start Date *
Applicant Employment End Date *
Co-Applicant's Employer
Co-Applicant's Yearly Income
Co-Applicant Employment Start Date
Co-Applicant Employment End Date
Enter Any Other Income

Other Information
Do you currently own a home?
If Yes, will you Rent or Sell?
Cash Available for down payment
Did you serve more than 24 months in the military?
Are you eligible for a Veterans Administration (VA) loan?
Are you working with a Realtor?
Realtor's name
If Military, your rank:
If Military, number of years service:

Note: By submitting this form, I / We hereby authorize Melinda Potcher of Trinity Mortgage and/or their affiliates to obtain an in-file credit report from a credit reporting agency. I/we also agree to allow Melinda Potcher of Trinity Mortgage and/or their affiliates to contact us regarding their mortgage services and products. This does not
constitute in any way a commitment for a loan by Melinda Potcher of Trinity Mortgage and/or their affiliates.


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