Getting Started

Please fill in the application as completely as possible. Upon submitting the form, I will be in touch to help guide you through the mortgage process. All information is transmitted directly to me so it is confidential.

General Loan Information
Sales Price: $
Loan Amount: $
Are you a veteran? Yes No
Do you want to obtain a VA Loan?Yes No
   
Property Address:
Property City:
Property State:
Property Zip:
* Property Type:
* Occupancy Type:
* Loan Purpose:
   
Borrower Information

 

Primary Borrower Co-Borrower
* Last Name:  
* First Name:

 
Middle Initial:

 
* Social Security #

- -

  - -
Marital Status:  
Date of Birth: / /   / /
Years in School:  
# of Dependants:  
Age of Dependants:  

 

 (Example: 8 10 12)   (Example: 8 10 12)
Current Address:  
City:  
State:    
Zip Code:  
How Long:
Years Months
 
Years Months
Ownership:

 

* Rent/Mortgage Pmt $    
  (What is your rent or mortgage/month?)  
If at current address for less than two years, please fill out previous address information below:
Previous Address:  
City:  
State:    
Zip Code:  
How Long:
Years Months
 
Years Months
Ownership:
* Home Telephone: - -   - -
* Work Telephone: - -   - -
Work Extension:  
Mobile/Pager: - -   - -
* E-mail Address:  
       
Borrower Employment
Employer Name:  
Employer Address:  
City:  
State:  
Zip Code:  
Title:  

Gross Monthly Income: $

 

Self-Employed:


 

  Yes
  No 

Years with current:

Years

Months
 

Years

Months
Years in same line of work:   Years

If at current employer for less than two years, please fill out previous employer information below:
Previous Employer:  
Previous Address:  
City:  
State:  
Zip Code:  
Title:  
Monthly Income: $  
Self-Employed:
  Yes
No 

Years with previous:

Years

Months
 

Years

Months
       
Borrower Assets
Institution Name(s) Total Balance
Checking: $
Savings: $
Stocks/Bonds: $
Other Assets:
(ex: 401k, IRA, Cd's, Etc) 		$
Real Estate Owned
Please specify any real estate owned (up to 3). 
Include your current residence and its status if you still own it.
Property Address Number One: Present Market Value: $
Street Name: Mortgage/Lien Amounts: $
City: Gross Rental Income: $
State: Mortgage Payments: $
Zip: Insurance/Taxes/Misc. $
Property Status: Net Rental Income: $
Type of Property:
 Current Residence Investment Property  Second Home
Yes No Yes No Yes No
Property Address Number Two: Present Market Value: $
Street Name: Mortgage/Lien Amounts: $
City: Gross Rental Income: $
State: Mortgage Payments: $
Zip: Insurance/Taxes/Misc. $
Property Status: Net Rental Income: $
Type of Property:
 Current Residence Investment Property  Second Home
Yes No Yes No Yes No
Property Address Number Three: Present Market Value: $
Street Name: Mortgage/Lien Amounts: $
City: Gross Rental Income: $
State: Mortgage Payments: $
Zip: Insurance/Taxes/Misc. $
Property Status: Net Rental Income: $
Type of Property:
 Current Residence Investment Property  Second Home
Standard Declarations
Please answer the following for both applicants Borrower Co-Borrower
* a. Are there any outstanding judgments against you? Yes   No   Yes   No
* b. Have you declared bankruptcy within the last 7 years? Yes   No   Yes   No
* c. Have you had property foreclosed upon in the last 7 years? Yes   No   Yes   No
* d. Are you a party to a lawsuit? Yes   No   Yes   No
* e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes   No   Yes   No
* f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? Yes   No   Yes   No
* g. Are you obligated to pay alimony child support or separate maintenance? Yes   No   Yes   No
* h. Is any part of the down payment borrowed? Yes   No   Yes   No
* i. Are you the co-maker or endorser on a note? Yes   No   Yes   No
* j. Are you a U.S. citizen? Yes   No   Yes   No
* k. Are you a permanent resident alien? Yes   No   Yes   No
* l. Do you intend to occupy the property as your primary residence? Yes   No   Yes   No
* m. Have you had an ownership interest in a property in the last 3 years? Yes   No   Yes   No
If you answered "Yes" to any question a through i, please describe the situation involved:
If you answered "Yes" to question m, please complete the following:
Borrower Co-Borrower
1. What type of property did you own?
2. How did you hold title to the home?
Government Monitoring
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