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  • Is this prequalification for a primary or secondary home?

    OK Is this prequalification for a primary or secondary home? is required

Single or Joint Application

  • Is this a single or joint application?

    OK Is this a single or joint application? is required

Personal Information

  • OK Name is required
  • Date of Birth

    OK Date of Birth is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Home Phone

    - -
    OK Home Phone is required
  • Work Phone

    - -
    Optional OK Work Phone is required
  • OK Email Address is required
  • OK No. of Dependents is required
  • OK Ages of Dependents is required
  • Marital Status

    OK Marital Status is required
  • OK Years at Current Residence is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Current Employment is required
  • OK Time on Job is required
  • OK Position is required
  • OK Type of Business is required
  • OK Previous Employment (if less than 2 years at current employer) is required
  • OK Time on this job is required
  • OK Position/Title is required
  • OK Type of Business is required

Applicant #2 Personal Information

  • OK Name is required
  • Date of Birth

    OK Date of Birth is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Home Phone

    - -
    OK Home Phone is required
  • Work Phone

    - -
    Optional OK Work Phone is required
  • OK No. of Dependents is required
  • OK Ages of Dependents is required
  • Marital Status

    OK Marital Status is required
  • OK Years at Current Residence is required
  • Home

    OK Home is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Current Employment is required
  • OK Time on Job is required
  • OK Position is required
  • OK Type of Business is required
  • OK Previous Employment (if less than 2 years at current employer) is required
  • OK Time on this job is required
  • OK Position/Title is required
  • OK Type of Business is required

Income

    Gross income per month

  • OK Regular Salary is required
  • OK Overtime is required
  • OK Bonus is required
  • OK Commission is required
  • OK Other is required
  • OK Explanation is required
  • (Child Support, Alimony or Separate Maintenance Income Need not be disclosed if you do not wish to have it considered as a basis for repaying a mortgage. Self-Employed Borrowers must submit previous 2 years tax returns for consideration)

  • OK YTD Earnings is required
  • OK Above earnings through is required
  • OK Previous Years Earnings is required

Applicant #2 Income

    Gross income per month

  • OK Regular Salary is required
  • OK Overtime is required
  • OK Bonus is required
  • OK Commission is required
  • OK Other is required
  • OK Explanation is required
  • (Child Support, Alimony or Separate Maintenance Income Need not be disclosed if you do not wish to have it considered as a basis for repaying a mortgage. Self-Employed Borrowers must submit previous 2 years tax returns for consideration)

  • OK YTD Earnings is required
  • OK Above earnings through is required
  • OK Previous Years Earnings is required

Realtor

  • OK Realtor is required
  • OK Real Estate Company is required

Debts

  • OK Current Housing Payment is required
  • OK Revolving Credit is required
  • OK Revolving Credit is required
  • OK Installment Loans is required
  • OK Installment Loans is required
  • OK Other is required
  • OK Alimony/Child Support is required
  • OK Total is required

Applicant #2 Debts

  • OK Current Housing Payment is required
  • OK Revolving Credit is required
  • OK Revolving Credit is required
  • OK Installment Loans is required
  • OK Installment Loans is required
  • OK Other is required
  • OK Alimony/Child Support is required
  • OK Total is required

Cash Assets

    Funds available for closing including down-payment and closing costs.
  • OK Cash on Hand is required
  • Funds available for closing including down-payment and closing costs.
  • OK Gift Funds Available is required
  • OK Will currently owned real estate be sold? is required
  • OK If so, what are the net proceeds from sale? is required

 

    THE UNDERSIGNED AGREE THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE MADE FOR THE PURPOSE OF OBTAINING A PRE- QUALIFIED CERTIFICATE FOR A MORTGAGE FROM CATTARAUGUS COUNTY BANK. THE BANK RESERVES THE RIGHT TO VERIFY OR REVERIFY ANY OR ALL INFORMATION AT ANY TIME INCLUDING THE USE OF A CREDIT REPORTING AGENCY OR FROM ANY SOURCE STATED ABOVE. THE BANK RELIED ON THE INFORMATION PROVIDED TO MAKE A DECISION AND IF FUTURE VERIFICATION OR REVERIFICATION REVEALS A CHANGE IN THE INFORMATION PROVIDED, THE BANK RESERVES THE RIGHT TO ALTER THEIR ORIGINAL PRE-QUALIFICATION DECISION.

    I/WE Authorize Cattaraugus County Bank to make whatever credit inquiries it deems necessary in connection with this application or in the course of review of collection of any credit extended in reliance on the application. I/We authorize and instruct any person or consumer reporting agency to compile and furnish to the Bank any information it may have or obtain in response to such credit inquiries and agree that same shall remain your property whether or not credit is extended. I am/We are hereby notified that a consumer report was requested, and if such report was requested. I/We will be informed of the name and address of the consumer reporting agency that furnished the report. Subsequent consumer reports may be requested or utilized in connection with an update, renewal or extension of credit.

    CERTIFICATION: The undersigned certify that the information provided in this application is true and accurate to the best of their ability and acknowledge that any misrepresentation may result in the Lender's denial of the application.

Security Code

  • OK is required
  • Cattaraugus County Bank reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.