VA Loan Prequalification

Complete this free, no obligation request for your VA Certificate of
Eligibility, Prequalification Amount and preliminary VA loan approval.
By submitting this form you authorize Legacy Mortgage to perform all
necessary verifications of credit, income necessary for
prequalification.
 
How did you hear about us? Choose all that apply
Name of Legacy Rep who referred you:
Name of Realtor who Referred you:
Website, search engine, friend, etc.:

Contact Information:
*Name:
*Email:
*Phone:
Recent Street Address:
City, St:
Zip Code:

Income Information:
*Primary Wage Earner SSN::
*Primary Wage Earner DOB::
*Rank (Active Duty):
*Yrs of Service (for pay):
Unit at Ft Campbell (if known):
Addtl Income (not BAH/BAS):
With or Without Dependents:
Ages of All Dependents:

Debt Information:
Rent or Mtg Payment::
Car Loans (total):
Credit Cd Min Pmts (total):
Personal Loans (total):
AER/ADV PAY:
Child Support/Alimony Debt:
Additional Pay Deductions/Allotments:

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Legacy Mortgage Services, Inc. NMLS#1613 329A Warfield Blvd Clarksville, TN 37043
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