America's Mortgage Pre-Application Worksheet         Personal Information   Borrower   Co-Borrower First Name: First Name: Last Name: Last Name: Social Security #: Social Security #: Date of Birth: Date of Birth:         Mailing Address: Mailing Address: State: State: City: City: Zip Code: Zip Code: Home Phone: Home Phone: Years at Residence: Years at Residence: Housing Expense: Housing Expense:         Employment Information   Borrower   Co-Borrower Employer's Name: Employer's Name: Mailing Address: Mailing Address: State: State: City: City: Zip Code: Zip Code: Phone #: Phone #: Years at Job: Years at Job: Title: Title: Gross Monthly Income: Gross Monthly Income:         Loan Information   Name of Creditor Monthly Payment Estimated Balance 1. 2. 3. 4. 5.   Totals:         Additional Comments or Credit Explanations             By pressing the Submit button below, you are authorizing America's Mortgage to run an in-file credit report on your behalf to help establish preliminary credit worthiness.