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Name
Last Name:
Email Address:
How Did You Hear About Us?
Evening Phone:
Work Phone:
How Would You Prefer to be Contacted?
My / Our Credit Is
Street:
City:
State:
Zip Code:
Property Type:
Purpose of Loan:
Loan Amount:	$
Additional Questions / Comments:


Authorization: This information is being used as a pre-qualification only and is not an application for credit. In connection with your pre-qualification, you authorize American Bank to request and obtain a consumer report from a consumer reporting agency. By submitting this pre-qualification form, you agree to accept calls regarding mortgage services offered by American Bank. Submitting thie pre-qualification form does not obligate you to accept a loan should you be approved, and it does not constitute a rate lock with American Bank.The information submitted will remain confidential and will only be used by American Bank to determine the best loan program for you.American Bank does not share customer or consumer information with anyone, unless it is required for the purpose it was submitted or where required by state and federal law.