Real Estate Loan Application

If you would rather download and mail in an application, click here.

[Red fields with an asterisk are required]
Primary Applicant
Name *
SSN *
DOB *
Contact Information:
Home # *
Cell #
Work #
Email
Secondary Applicant
Name
SSN
DOB
Contact Information:
Home #
Cell #
Work #
Email
About your employment: About your employment:
Employer's Name
* 		Annual Income
Since (mo/yr)
*

Occupation
 Phone
Previous employer (if at present job less than 2 years)
How Long
Annual Income Phone

Employer's Name
 Annual Income
Since (mo/yr)
Occupation
 Phone
Previous employer (if at present job less than 2 years)
How Long
Annual Income Phone
Property address
* 		City
* 		State
*		 Zip
*
What's your principal balance?
 What is your home's value?
 Purchase date
 Purchase price
1st mortgage company
 Phone #
 Balance
 Rate
 Payment
 Loan status
2nd mortgage company
 Phone #
 Balance
 Rate
 Payment
 Loan status
Any other liens
Have you filed bankruptcy?
 Date
 Attorney
 Discharge date
Assets
App Co-App   Description Cash or market value
Checking acct.
(Bank, Acct no.)
Savings acct.
(Bank, Acct no.)
Total Assets  
Real estate address (not primary residence)  
Type of property Purchase price Present market value Amount of liens
& mortgages 		Gross rental
income 		Mortgage
payments 		Taxes, Ins.
Maint. and Misc. 		Net rental
income
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