Loan Purpose
Refinance to Lower Payment
Refinance to Cash out
Purchase
Home Description
Single Family Home
Multifamliy
Coop
Condo/Townhouse
Which State is
Subject Property in?
California
Connecticut
Florida
Maryland
New Jersey
New York
Pennsylvania
Enter the text as shown
*
Step 1 of 3
Did you find this house yet?
*
Yes
No
Are you currently in contract?
*
Yes
No
Home will be used for
*
Primary Residence
Vacation Home
Investment
Rental Property
Estimated Purchase Price
*
Estimated Down Payment
*
3%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
more than 50%
Are you a first time home buyer?
*
Yes and please help guide me
No
When do you intend on purchasing this house?
*
immediately
1 month
2 months
3 months
4-6 months
more than 6 months
Step 1 of 3
Subject Property is used as
*
Primary Residence
Vacation Home
Investment
Rental Property
Estimated Home Value
*
100-150k
150-200k
200-250k
250-300k
300-350k
350-400k
400-450k
450-500k
500-550k
550-600k
600-650k
650-700k
700-750k
750-800k
800-850k
850-900k
900-950k
950k-1 Million
1 Million-2 Million
2 Million-3 Million
3 Million-4 Million
over 4 Million
Current 1st lien Mortgage Balance
*
0-50k
50-100k
100-150k
150-200k
200-250k
250-300k
300-350k
350-400k
400-450k
450-500k
500-550k
550-600k
600-650k
650-700k
700-750k
750-800k
800-850k
850-900k
900-950k
950k-1 Million
1 Million-2 Million
over 2 Million
Current 1st lien rate type
*
Fixed
adjustable
Do you have a 2nd mortgage?
*
Yes
No
2nd mortgage Balance
*
2nd mortgage rate
*
Step 2 of 3
Employment Status
*
Self Employed
Salaried
Retired
Not Employed
Annual Household Income
*
less than 30k
30-60k
60-90k
90-120k
120-150k
150-180k
180-210k
210-240k
over 240k
How many mortgage lates in last 12 months
*
0
1
2
3
more than 3
in foreclosure
What is your email address?
*
(for verification purposes only)
What city is the subject property located in?
*
Step 3 of 3
First Name
*
Last Name
*
Address
*
Phone (home)
*
Phone (Work/cell)
*
Application Form
1. LOAN \ PROPERTY INFORMATION
Amount of Loan Requested
$
Term of Loan Requested
10 Yr
15 Yr
20 Yr
25 Yr
30 Yr
Amortization Type
Fixed Rate
ARM (Type)
Purchase Price/Value of Property
$
Downpayment (if this is a purchase)
5%
10%
15%
Over 20%
Unsure
Property Will Be:
Primary Residence
Vacation Home
Investment Property
Subject Property Address
Property Real Estate Taxes
Property Type?
1 Family
2 Family
3 Family
4 Family
Commercial
Who referred you to us? (Please list name or source)
2. BORROWER INFORMATION
BORROWER
CO-BORROWER
Borrowers Name (Include Jr. or Sr. if applicable)
Co-Borrowers Name (Include Jr. or Sr. if applicable)
SSN Number
Home Phone
SSN Number
Home Phone
Married
Separated
Unmarried (Includes single, divorced, widowed)
Date of birth
Married
Separated
Unmarried (Includes single, divorced, widowed)
Date of birth
If Residing At Present Address for Less Than Two Years, Complete The Following
Former Address
Own
Rent No. Yrs
(Include Street, City, State, Zip)
Former Address
Own
Rent No. Yrs
(Include Street, City, State, Zip)
3. EMPLOYMENT INFORMATION
BORROWER
CO-BORROWER
Name of Employer
Address
Years on This Job
Years in Profession
Name of Employer
Address
Years on This Job
Years in Profession
Position or Title & Type of Business
Business Phone
Position or Title & Type of Business
Business Phone
If Employed In Your Current Position for Less Than Two Years, or If You Hold More Than One Position, Please Complete
Name of Employer
Address
Dates on This Job
Monthly Income
Name of Employer
Address
Dates on This Job
Monthly Income
Position or Title & Type of Business
Business Phone
Position or Title & Type of Business
Business Phone
4. MONTHLY EMPLOYMENT INCOME
BORROWER
AMOUNT
CO-BORROWER
AMOUNT
Gross Monthly Salary (Base Wages)
$
Gross Monthly Salary (Base Wages)
$
Commission/Self Employment income
$
Commission/Self Employment income
$
Bonus/Overtime (
Monthly
Annual)
$
Bonus/Overtime (
Monthly
Annual)
$
5. JOINT PERSONAL ASSETS & AVAILABLE FUNDS
LIQUID ASSETS
Cash or Market Value
NON LIQUID ASSETS
Cash or Market Value
Savings Account
$
Stocks and/or Brokerage
$
Checking Accounts
$
Available Gift Funds
$
Mutual Funds
$
Retirement Accounts (401k, IRA etc)
$
6. JOINT PERSONAL ASSETS & AVAILABLE FUNDS
Do you have a signed Contract?
Yes
No
Has anyone pulled your credit in the last 90 days?
Yes
No
Will you need a Pre-Approval?
Yes
No
Are you a First time homebuyer?
Yes
No
When are you looking to close:
<3mos
6mos
1+ yr
Currently own another home?
Yes
No (if yes see section VII)
Realtors Name:
Realtors Number:
Attorneys Name:
Attorneys Number:
7. LIST ALL PROPERTIES OWNED OTHER THAN THE ONE YOU ARE FINANCING
Property Address
Type of
Property
Present
Market Value
Amount of Mortgages & Liens
Gross Rental Income
Mortgage
Payments
Maintenance
Taxes & Misc.
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Totals
$
$
$
$
$
Cell Phone:
Fax:
Email Address:
Other:
I AUTHORIZE APPROVED FUNDING TO CHECK MY CREDIT FOR THE PURPOSE OF OBTAINING A MORTGAGE APPROVAL
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