Business Digital Banking Information
Welcome to our secure online pre-qualification form.
Date of Birth
Contact Me at
Contact me atNo PreferenceHome PhoneBusiness Phone
Best Time to Call
Best time to callNo PreferenceMorningAfternoonEvening
Total Gross Yearly Income (Income Before Taxes)
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co- Borrower(C) does not choose to have it considered for repaying this loan.
Number of Years
Will there be a co-borrower on this loan?
No PreferenceMcMullen, April Ann - NMLS #1004794 - HarvardMartin E Grant NMLS # 652521 - OregonTom Matthew Raine NMLS #261298
If you would like to work with a specific loan originator, please select the name above.
No PreferencePrimary ResidenceSecond Home/Vacation HomeInvestment Property
Amt Avail for Down Payment on Closing Costs