| Pre-Qualify for Your New Home | Optional Co-Applicant |
| First Name | *
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| Last Name | *
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| Address | *
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| Address Line Two | |
| City | *
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| State | *
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| Zip | *
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| Phone | |
| Email | *
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| Social Security | * (with dashes)
| (with dashes) |
| Date of Birth | *
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| (*) Required Information |
| U.S. Government Requested Information |
| The following information is requested by the federal government for certain types of loans related to
a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not
required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a
lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish
the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and
sex on the basis of visual observation or surname. If you do not wish to furnish this information, please check below: |
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| Ethnicity: | Race: | Sex: |
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| By submitting
this information, I/We (1) authorize Nobility Homes, Inc. and its affiliates, to obtain a consumer credit
report on me/us and (2) understand that should I/we meet Nobility Homes, Inc. pre-qualification standards,
I/we will need to submit a complete application and meet Nobility Home's full underwriting standards in
order to obtain financing. |
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