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OnLine Loan Application 
 

I.  TYPE OF MORTGAGE AND TERMS OF LOAN

Borrower Name:
Co-Borrower:
E-mail:
Mortgage Applied For: VA   FHA   Conventional   Other
Amount:
Interest Rate:
No. of Months:
Amortization Type: Fixed Rate  GPM  ARM  Other


II.  PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address
(street, city, state & zip):

No. of Units:
Purpose of Loan: Purchase   Refinance   Construction
Construction-Permanent  Other
Property Will Be: Primary Residence Secondary Residence
Investment

Complete the following ONLY if this is a refinance loan:
Year Acquired:
Original Cost:
Amount Existing Liens:
Purpose of Refinance:
Title Will Be Held In What Name:
Manner In Which Title Will Be Held:
Source of Down Payment, Settlement Charges, and/or Subordinate Financing (explain):
Estate Will Be Held In: Fee Simple
Leasehold
(show exp.date)
 

III.  BORROWER INFORMATION

       Borrower:

Borrower's Full Name:
Social Security No:
Home Phone:
DOB (mm/dd/yyyy):
Years of School:
Status: Married  Separated
Unmarried (includes single, divorced, widowed)
Number of Dependents:
Ages of Dependents:        
Present Address:
Mailing Address:
  Own   Rent
Number of Years:
If residing at present address for less than two years, provide former address:
  Own   Rent
Number of Years:

Co-Borrower:

Co-Borrower's Name:
Social Security No:
Home Phone:
DOB (mm/dd/yyyy):
Years of School:
Status: Married   Separated
Unmarried (includes single, divorced, widowed)
Number of Dependents:
Ages of Dependents:
Present Address:
Mailing Address:
  Own   Rent
Number of Years:
If residing at present address for less
 than two years, provide former address:
  Own   Rent
Number of Years:

 

IV.  EMPLOYMENT INFORMATION

       Borrower:

Name and Address of Employer:
Position/Title/Type of Business:
Business Phone (include area code):
Years on this Job:
Years employed in Profession:
If employed in current position for less than two years OR if currently
employed in more than one position, complete the following:
Name and Address of Former OR Second Employer:
Position/Title/Type of Business:
Business Phone (area code):
Dates (from - to):
Monthly Income:
Name and Address of Former OR Second Employer:
Position/Title/Type of Business:
Business Phone (area code):
Dates (from - to):
Monthly Income:

 

Co-Borrower Employment:

Name and Address of Employer:
Position/Title/Type of Business:
Business Phone (include area code):
Years on this Job:
Years employed in Profession:
If employed in current position for less than two years OR if currently
employed in more than one position, complete the following:
Name and Address of Former OR Second Employer:
Position/Title/Type of Business:
Business Phone (area code):
Dates (from - to):
Monthly Income:
Name and Address of Former OR Second Employer:
Position/Title/Type of Business:
Business Phone (area code):
Dates (from - to):
Monthly Income:

 

V.  MONTHLY INCOME AND COMBINED

       HOUSING EXPENSE INFORMATION

Gross Monthly Income Borrower Co-Borrower
      Base Empl. Income

      Overtime
      Bonuses
      Commissions
      Dividends/Interest
      Net Rental Income
      Other*

TOTAL

Self-Employed Borrower(s) may be required to provide additional documentation, such as tax returns and financial statements.
*Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

VI.  ASSETS AND LIABILITIES

Cash Deposit Toward Purchase Held By:
Cash or Market Value:
Name and Address of Bank,
S&L, or Credit Union:
Account Number:
Amount:
Name and Address of Bank,
S&L, or Credit Union:
Account Number:
Amount:
Name and Address of Bank,
S&L, or Credit Union:
Account Number:
Amount:
   
 

 

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