Pre-Approval Application
Please complete this form and we'll send you the
information that will tell you how much you can afford.
* indicates required fields
   
*Your First Name:   
*Your Last Name:   
Address   
City   
*State   
Zip   
Home Phone   - -
Work Phone  - - Ext:
*Email   
Best Time To Call:   
*Annual Household Income: 
Place of Employment:   
Years Employed   
Credit Rating:   
*Requested Loan Amount:   
*Loan Purpose:   

If Refinancing Please Complete the Following:
Present Property Value:   
Property Type:   
Mortgage Type:   
First Mortgage Balance:   
Present Mortgage Rate:   
Purchase Price:   
Current Monthly Payment: 

John D. Hand, Senior Loan Officer

Poli Mortgage Group • 685 Canton Street • Norwood, MA  02062

781-801-1440 (w) • 781-465-6084 (eFax) • 508-826-9118 (c)