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Purchase Pre-Qualification        
All fields with an asterisk (*) are required

How did you hear about us?
*
Would you like to open an ESB Checking or Savings Account?    *

Borrower Information
First Name *
Middle Initial
Last Name *
Street *
City *
State *
Zip Code *
Preferred Phone *
E-mail Address *
S.S. # *
Birth Date
*
Marital Status
Years at Location Under Two Over Two *
Rent or Own Own Rent

Assets and Income
Monthly Income (Gross) *
Sources of Income * Self-employed
Commissions
Salary
Hourly
Other

Employer *
Job Title *
Years at Position *
Assets Checking/Savings Balance

Market Value of Real Estate

Other Assets

Co-Borrower Information
First Name
Middle Initial
Last Name
Street
City
State
Zip Code  Copy Borrower Address
Preferred Phone
E-mail Address
S.S. #
Birth Date
Marital Status
Years at Location Under Two Over Two
Rent or Own Own Rent

Assets and Income
Monthly Income (Gross)
Sources of Income Self-employed
Commissions
Salary
Hourly
Other

Employer
Job Title
Years at Position
Assets Checking/Savings Balance

Market Value of Real Estate

Other Assets

Questions or Comments


SSL Security
By submitting this mortgage prequalification form, you are giving Elmira Savings Bank authorization to obtain a credit report from a credit reporting agency. I understand that I can obtain this report from a credit reporting agency in accordance with the Fair Credit Reporting Act. I also understand that if I have any questions, disputes or comments about the information on my credit report, I must contact the credit reporting agency to address the issues directly.

This authorization is not an application for credit, nor is it a request for Elmira Savings Bank to consider an application to obtain a residential mortgage.

If you ask us, Elmira Savings Bank will inform you whether or not a credit report was re-quested and, if we did request a credit report, the name and address of the consumer reporting agency that furnished the report (NY General Business Law 380-b(b)).


© 2018 Elmira Savings Bank Mortgage. All Rights Reserved.
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Elmira Savings Bank is an approved Seller/Servicer of Freddie Mac, FHA/Department of Housing & Urban Development, VA, USDA, and SONYMA (NY Only). Elmira Savings Bank is an Equal Housing Lender committed to ensuring every applicant for credit receive fair and equal treatment throughout the credit application and approval process, as embodied in the Equal Credit Opportunity Act and the Fair Housing Act. All mortgage lending products are subject to credit and property approval. Rates, program terms and conditions are subject to change without notice. Not all products are available in all states or for all amounts. Other restrictions and limitations apply.

External links and content are being provided for informational purposes only. Elmira Savings Bank has no control over any other website and is not able to endorse, guarantee or monitor content, availability, viewpoints, products or services that are offered or expressed on any site other than this one.

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