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Loan Application Form

Start Your Loan Application:

Are you looking to purchase or refinance a home? *

Purchase

Refinance

What towns are you looking to buy in? *

What type of property are you looking for? (SFR, CONDO, 2, 3, OR 4 FAMILY) *

Will this be your primary, second home, or investment property? *

Are you a first time homebuyer? *

ARE YOU A FIRST TIME HOMEBUYER?

Yes
No
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Would You Like To Take Additional Cash To Pay Off Debts Or For Home Improvements? *

Yes
No
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What is your estimated home value? *

What is your current mortgage balance? *

What is your current interest rate? *

6% or higher

5%-6%

4%-5%

3%-4%

Less Than 3%

Estimated Purchase Price of New Property *

Less Than $100,000

$100,001 - $200,000

$200,001 - $300,000

$300,001 - $400,000

$400,000 - $500,000

$500,000 - $600,000

$600,000 - $800,000

$800,000+

Estimated Down Payment *

$0

$1,000 - $2,500

$2,500 - $5,000

$5,000 - $7,500

$7,500 - $10,000

$10,000 - $25,000

$25,000 - $50,000

$50,000 - $100,000

$100,000 - $200,000

$200,000+

What Is Your Estimated Credit Score? *

740 or Above

700-739

660-699

620-659

580-619

below 580

I Don't Know

First Name *

Middle Name

Last Name *

Email *

Phone *

Best Time to Call You

Social Security Number

Date of birth *

Civil Status *

Married

Unmarried

# of dependents

Age of dependents

Address

Street Address

City

State

Postal code

Years at present address *

Former Residence

Years at former residence

Employment Information

Employer *

Complete address of employer *

Self-employed? *

Yes

No

Title or Position *

Employer Phone Number

Years at this job *

Years in this line of work

Former Employer (if < 2 years at current)

Former title or position

Former employer’s complete address & phone

Time period employed

Prior income (include base and bonus)

Do you have a co-borrower? *

Yes

None

Co-borrower Information

Co-Borrower First Name

Co-Borrower Middle Name

Co-Borrower Last Name

Co-borrower Email

Co-borrower Phone Number

Co-Borrower Date of Birth

Co-Borrower Social security number

Co-borrower Civil Status

Married

Unmarried

Co-borrower # of Dependents

Co-borrower Ages of Dependents

Co-borrower Present Address

Co-borrower Years at present address

Co-borrower Former Residence

Co-borrower Years at former residence

Co-borrower Employment Information

Co-borrower Employer

Co-borrower Complete Address of Employer

Co-borrower Employer Phone Number

Co-borrower Self-employed?

Yes

No

Co-borrower Title or Position

Co-borrower Years at this job

Co-borrower Years in this line of work

Co-borrower Former Employer

Co-borrower Former Employer Address

Co-borrower Former Title or Position

Co-borrower Time period employed

Co-borrower Prior Income

Liquid assets for closing and retirement accounts

(Savings, Checking, 401k, Investment, etc.)

Financial Institution 1

Financial Institution Name
Type of Account
Current Balance

Financial Institution 2

Financial Institution Name
Type of Account
Current Balance

Financial Institution 3

Financial Institution Name
Type of Account
Current Balance

Financial Institution 4

Financial Institution Name
Type of Account
Current Balance

Real Estate Owned

Property 1

Property Address
Property Type
Rental Income
Market Value
Mortgage Amount
Mortgage Payment
Taxes, Insurance, HOA

Property 2

Property Address
Property Type
Rental Income
Market Value
Mortgage Amount
Mortgage Payment
Taxes, Insurance, HOA

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