Current Address

Do you Rent or Own? Rent Own

If Renting, please provide monthly rent payment.

IF LESS THAN 2 YEARS AT ABOVE ADDRESS, please provide previous address

Did you Rent or Own? Rent Own

If Rented, please provide monthly rent payment.

Martial Status

Single Married Separated Divorced

1. Tell us about the request

Are you a 1st time home buyer? Yes No

Are you a US Citizen? Yes No

If not, what is your visa status (R-1, H-1) etc and Country of Origin?

Are you obligated to pay Alimony or child support? Yes No

If yes, how much do you pay?

Do you receive any alimony or child support? Yes No

If so, what is the monthly amount?

2. Tell us about the Property you are interested in

What is the purpose of the property?

Primary Residence Second Home Investment Home

What is the property type?

Single Family Home Condominium Town House Planned Unit Development

What is the monthy payment amount you wish not to go over?

Property address you are looking at (or) county you are looking in?

3. Employment

Are you self employed? Yes No

Employment Information

Do you have a 2 year history of any Bonus/Commission? Yes No

If so, what is the average yearly amount over the last 2 years?

IF LESS THAN 2 YEARS AT ABOVE EMPLOYMENT, please provide your second most recent employment information.

4. Assets (checking / savings / stocks / retirement / other)

Account 1

Account 2

Account 3

Account 4

Account 5

Account 6

5. How much total cash do you wish to use for a down payment and closing costs?

6. Realtor Information

7. Veteran Status

Are you a Veteran? Yes No

What Branch of Service?

Regular or Reserves?

Have you ever used your VA Entitlement before?

8. Previous Housing

Do you have a house to sell? Yes No

Selling Price (Estimate)

Gross $ due to you at settlement

Will this home be sold prior to your new home settlement? Yes No

9. Credit Inquiry Consent

In order for me to issue a pre-approval I need permission to run your credit. Do you consent? Yes No

IMPORTANT: IF YOU HAVE A FREEZE ON YOUR CREDIT REPORT YOU MUST GET IT LIFTED!

Please confirm with me when completed.

Thank you for filling out this form! If you have, questions about this form leave the section blank or call Tom McLister for assistance.

Tom McLister

George Mason Mortgage, LLC
50 Citizens Way ste 303
Frederick, MD 21701

Direct : 301-620-2087
Cell : 301-748-2155
Fax : 888-858-7995
tmclister@gmmllc.com
NMLS# 532688

George Mason Mortgage, LLC Prospective Applicant Form

Tom McLister