LOAN APPLICATION 


   I Want To :   Loan Amount:  
  If Buying, what is Sales Price:  If Refinancing, what is Loan Balance:
   I will :   * All 1st Loan requests must be greater than $150,000
  Would you like an  Interest Only option :  
    Borrower
 Full Name:
 Home Phone:  
 Work Phone:  
 Credit Score or Rating:  
  Email : 
  Co-Borrower
 Full Name:
 Home Phone:  
 Work Phone:  
 Credit Score or Rating:  
 
  Present Address 
 Own (Y/N)    Number of Years  
 Street:  
 City  

 State:   

    Zip Code:  
  Subject Property Address
 Street:  
 City  

 State:   

    Zip Code:  
 Property Type:     
  Employment Information
  Borrower
 Self Employed:  
 Name and Address of Employer:
 Company Name:   
 Position:   
 Street:   
 City:   
 State:     Zip: 
 Years On This Job:  
 Years In This Line of The Work :  
  Co-Borrower
 Self Employed:  
 Name and Address of Employer:
 Company Name:   
 Position:   
 Street:   
 City:   
 State:     Zip: 
 Year On This Job:  
 Years In This Line of The Work :  
  Gross Monthly Income
   Borrower  Co-Borrower
 Base And/Or Commission    
 Other    
 Total    
 
  Debt
   Monthly  Payment
Mortgage/Rent  
2nd Mortgage  
Tax & Insurance  
Consumer Debt*  
  *(i.e., Credit Cards, Auto Loans, Student Loans, etc.)
Total  
  Assets
 Bank Accounts :  
 Gift Funds:  
 Stock and/or Bonds:  
  Assets
 My Current Home Is Worth $ 
 
 Other Real Estate Owned $ 
 
 Have you been declared bankrupt or have you had a property foreclosed upon or given
 title or deed in lieu of foreclosure in the last 7 years?		   YES  NO
 Do you intend to occupy the property as your primary residence?  YES  NO
 Are you presently delinquent or in default on any federal debt?  YES  NO
 Have you had an ownership interest in real property in the last 3 years?  YES  NO
 Are you a U.S. citizen?  YES  NO
 Are you a permanent resident alien?  YES  NO
        Comments:              
  

  

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