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First Home? New Home? Dream Home?

Whatever stage you're at in life, we have money to lend to make your dreams come true.

Prequalify Online!

Mortgage Prequalification Application


Please read the disclosures in the Privacy Notice.
* I have read and understood the disclosures as stated in the link above.

* indicates a required field



Mortgage Information
Please Select One   Purchase Refinance
If Refinance, Cash Out?   Yes No
Term Requested   Thirty year Twenty year
    Fifteen year Ten year

Are you currently working with an American Bank and Trust Company Mortgage Consultant?

  Yes   No

If “Yes”, please provide your Mortgage Consultant’s Name:


Primary Account Owner
*Name (First M. Last):
*Date of Birth (mm/dd/yyyy):   (Must be a minimum of 18 years old)
*Social Security Number:
*Driver's License Number:   State
*E-mail:
 
*Current Address:
*City, State Zip: ,
*Current Home Phone Number:
 
*Current Employer:
*Current Job Title:
*Current Work Address:
*City, State Zip: ,
*Current Work Phone Number:

Joint Account Owner
Joint Owner Name (First M. Last):
Joint Owner Date of Birth (mm/dd/yyyy):
Joint Owner Social Security Number:
Joint Owner Driver's License Number:   State
Joint Owner E-mail:
 
Joint Owner Current Address:
City, State Zip: ,
Joint Owner's Current Home Phone Number:
 
Joint Owner Current Employer:
Joint Owner Current Job Title:
Joint Owner Current Work Address:
City, State Zip: ,
Joint Owner Current Work Phone Number:

Optional Information
To further assist in pre-qualification, please provide the following optional information (Please do not use commas or dollar signs in any answer):
Gross Income  (Borrower)
  (Co-Borrower)
Total Revolving Debt 
Total Installment Debt 
Value/Sales Price of Property 
*Loan Amount 
  (payments on existing installment loans)

Taxpayer Identification Number Certification

The Social Security Number(s) shown above is my correct SSN.

I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding.

I am an exempt recipient under the Internal Revenue Service Regulations.

I am not a United States person, or if I am an individual, I am neither a citizen nor a resident of the United States.

I certify under penalties of perjury all statements made are true.
 


I authorize American Bank and Trust Company to obtain a copy of my current credit report as a condition of acceptance of this application and for the purpose of extension of or renewal of credit.

I would like to access this account through Online Banking.

* indicates a required field


 

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