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Please complete each question so that the following information can be processed to start your loan application.
*
required field
Please have a loan agent call me.
I prefer to apply by computer and U.S. Mail.
Are you currently working with a real estate agent?
Yes
No
If you answered yes, who is your real estate agent?
Real Estate Firm?
Which loan products would you like quoted and/or compared?
30 Year Fixed
3 Year Fixed
1 Year ARM
15 Year Fixed
5 Year Fixed / ARM
10 Year Fixed
7 Year Fixed / ARM
No Income Documentation Loan.
What will the loan be used for?
What type of property are you considering?
Primary Residence
Single Family
Second Home
Condo
Investment
Multi-Family
Refinance
What is the property value?
What is the loan amount?
Original Cost of Property?
Reference Only
Amount of existing Mortgage?
Reference Only
The month and year that you purchased this property?
Reference Only
Do you have a second mortgage or home equity line?
Yes
No (Reference Only)
Primary reason for refinancing?
*
Borrower's First Name:
*
Borrower's Last Name:
Home Phone:
*
Email Address:
Social Security Number:
Current Street Address:
City:
State:
Zip:
Co-Borrower's First Name:
Co-Borrower's Last Name:
Home Phone:
Email Address:
Social Security Number:
Current Street Address:
City:
State:
Zip:
Can you document your income?
Yes, I can document my income
No, I will not document my income.
Employment Information:
Borrower:
Name of Employer:
Address:
City:
State:
Zip:
Business Phone Including Area Code:
Type of Business:
Years on this Job:
Gross Monthly Base:
Years employed in this line of work:
Self Employed?
Yes
No
Employment Information:
Co-Borrower:
Name of Employer:
Address:
City:
State:
Zip:
Business Phone Including Area Code:
Type of Business:
Years on this Job:
Gross Monthly Base:
Years employed in this line of work:
Self Employed?
Yes
No
If employed in current position for less than two years, please complete the following.
Employment Information:
Borrower:
Name of Employer:
Address:
City:
State:
Zip:
Business Phone Including Area Code:
Type of Business:
Years on this Job:
Gross Monthly Base:
Years employed in this line of work:
Self Employed?
Yes
No
If employed in current position for less than two years, please complete the following.
Employment Information:
Co-Borrower:
Name of Employer:
Address:
City:
State:
Zip:
Business Phone Including Area Code:
Type of Business:
Years on this Job:
Gross Monthly Base:
Years employed in this line of work:
Self Employed?
Yes
No
Bonus Income?
Please enter the annual amount received last year:
Commision Income?
Please enter the annual amount received last year:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Co-Borrower's
Name of Creditor:
Monthly Payment:
Unpaid Balance:
Additional Comments:
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