Short Pre-Approval Application

Please fill out this to get your free Pre-Approval. This form should only take about 4-6 minutes.
A loan officer will contact you once we receive your request.



NOTE: This form currently can not be sent online. We are working on getting a secured site and should be working soon.
Thank you for your patience.


Borrower's Information            *all fields are required
First Name: MI: Last Name:     Jr. Sr.
Address: City: ST: Zip:
How long have you lived there? Yrs. Mo.       Do you rent or Own?   Rent?  Own
Home Phone: Work Phone: ext.       Cell Phone:
SSN#: Date of Birth:(MM/DD/YYYY)
Email: Dependent's Age(s): 
Previous Address: City: ST: Zip:
How long did you lived there? Yrs. Mo.       Did you rent or Own?   Rent?  Own
Borrower's Employment History
Employer: Start Date (MM/DD/YYYY):
Position: Gross Income:
Additional Income:
Source:		 Amount:
If less than 2 years at current employment list previous employer
Employer:		 Start Date (MM/DD/YYYY):
Position: Gross Income:
Co-Borrower's Information            *all fields are required
First Name: MI: Last Name:     Jr. Sr.
Address: City: ST: Zip:
How long have you lived there? Yrs. Mo.       Do you rent or Own?   Rent?  Own
Home Phone: Work Phone: ext.       Cell Phone:
SSN#: Date of Birth:(MM/DD/YYYY)
Email: Dependent's Age(s): 
Previous Address: City: ST: Zip:
How long did you lived there? Yrs. Mo.       Did you rent or Own?   Rent?  Own
Co-Borrower's Employment History
Employer: Start Date (MM/DD/YYYY):
Position: Gross Income:
Additional Income:
Source:		 Amount:
If less than 2 years at current employment list previous employer
Employer:		 Start Date (MM/DD/YYYY):
Position: Gross Income:
Loan Information
Loan Type:
List Assets (Including checking, savings, money markets, retirement, 401K's, etc.)
Asset #1: Balance:
Asset #2: Balance:
Asset #3: Balance:
Asset #4: Balance:
If you own your present home, Approx. proceeds from sale:
Market Value of Home:
I/We have made a pre-approval request. Any information provided by the lender regarding loan amount is subject to the property I/we select appraising in excess of the minimum value required for the loan program selected. Sunch information is also subject to verification of all data I/we will be required to provide on a written application.

NOTE: This form currently can not be sent online. We are working on getting a secured site and should be working soon.
Thank you for your patience.
A Kansas Licensed Mortgage Company, License #2007-5213
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Diamond Street Mortgage, Inc. • 200 N. Broadway Suite 100 • Wichita, Kansas • 316-771-5111