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Loan Application

 

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Loan Purpose
Purchase Refinance Cash out refinance Credit line Debt Consolidation Equity loan Construction Construction-Permanent Other

 

Loan Type

Fixed Rate Adjustable Rate 5 yr balloon 7 yr balloon 3/1 arm 5/1 arm 7/1 arm 10/1 arm GPM Other  

 

Term

Select 30 15 20

 

Estimated Property Value

$

 

Loan Amount

$

 

Property Type
Primary Residence Secondary Residence Investment (rental)

 

Property Address
Street:
City:
State:
Zip:

 

Refinance Only:

 

Current Principal and Interest Payment: 

 

 

Current Yearly Property Taxes:  

 

 

Current Yearly Homeowners Insurance:  

 

 

Current Interest Rate:  

 

 

 

	BORROWER	CO BORROWER
Contact Information
E-Mail Address (required)
First Name, MI, Last Name
Home Telephone Number
Work Telephone Number
Fax Telephone Number
Your Street Address
City, State, Zip
Since Mo/Yr
Own or Rent	rent own	rent own
Birthday (MM/DD/YYYY)
Social Security Number
No. of Dependents
Marital Status
Best Time to Contact You	Early Morning Mid Morning Early Afternoon Late Afternoon Evening
Previous Address
(Complete only if you've lived at present address for less than two years.)
Previous Street Address
City, State, Zip
Own or Rent	rent own	rent own
Present Employment
Are You Self Employed	no yes	no yes
Present Employer
Yrs. at Current Job
Yrs. at Current Profession
Gross Monthly Income
Title
Previous Employment
(Complete only if employed less than two years by present employer.)
Previous Employer
Dates Employed
Gross Monthly Income
Title
Other income (if any)
Overtime
Bonuses
Commissions
Dividends/Interest
Net Rental Income
Other:
Please Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

Asset Information

(please complete for all checking, savings, money market, CD, stock, bond or other liquid asset accounts)

Bank or Institution Name
	Checking Balance
	Savings Balance

 

Bank or Institution Name
	Checking Balance
	Savings Balance

 

Bank or Institution Name
	Checking Balance
	Savings Balance

 

Bank or Institution Name
Other Account Balance
Type of Account

Bank or Institution Name
Other Account Balance
401(k)

 

Credit Information:

 

Borrower - My credit history is...	Excellent! Good, but some lates Some credit problems Major credit problems --Select One--
Co Borrower - My credit history is...	Excellent! Good, but some lates Some credit problems Major credit problems --Select One--
Borrower - Permission to pull Credit	Yes No
Co Borrower - Permission to pull Credit	Yes No
Read Disclosure click here to open in new window* (Requires Adobe Acrobat Reader)	Did you read the disclosure?  no yes

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Comments:

 

 

 

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