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Mortgage Prequalification Form - Sheboygan County residents only. If you live outside of the area. Please contact us.

Please provide all the requested information. When you have completed the form, press the Submit button to send your information. You'll hear back from us as soon as possible, usually within one business day. We will provide you with a dollar amount you are pre qualified for based on the information provided. At your request, we can then take the necessary steps to complete an application and provide you with a pre approval certificate that will be effective for 60 days. All our forms are encrypted for your security    

Mortgage  Information
* =  Required Fields

Amount requested   *
Length of Loan  *

Personal Information 

First Name:  *
Middle Initial:    
Last Name:  *
Street Address:  *
   City:  *
   State:    
   Zip:    
Social Security
Number
*
Birth Date *
Home Phone Number:  *

Income Information

Gross monthly income:  *
Other income     Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Debt Information

List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment..

Balance

Monthly Payment

Rent or Mortgage
Credit Card
Auto Payments

Any comments or questions you may have for us?
Please indicate preferred method and time to contact you.

Email Address: 

By submitting this information, I/We certify that this information has been supplied truthfully, accurately and voluntarily. This prequalification does not constitute an application or contract for the extension of credit.  

Thank You.  Upon receipt of this information, someone at Oostburg State Bank will review your information and get back to you with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.

 
REMINDER: This form is for residents of Sheboygan County. If you live outside of this area please contact us.

 

Copyright © 2008 Oostburg State Bank, P.O. Box 700198, 905 Center Avenue, Oostburg, WI 53070-0198.  All Rights Reserved.
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