Loan application
Borrower Full Name:
Present Street Address:
City:
State:
Zip:
E-Mail:
Home Phone:
DOB:
SSN:
Martial Status:
Residence Information:
Own/Rent:
Number of years at this residence:
Loan Amount Requested:
Interest Rate Requested:
Number Of Month:
Type of Loan:
---------- Please
Select ---------- Fixed Rate
GPM ARM Other
Purpose of this loan:
---------- Please
Select ---------- Purchase Refinance - No cash out Refinance - Cash out Construction
Property will be:
---------- Please
Select ---------- Primary
Residence Secondary Home
Investment
Property
Type of Loan:
---------- Please
Select ---------- Conventional
FHA VA 2nd Mortgage/Line of
Credit
If refinance, present mortgage balance:
House Market Value:
If residing less than two years:
Former Address (CSZ):
Number of Years at this residence:
Own/Rent:
Employment:
Employer Name:
Yrs on this Job:
Yrs Employed/Profession:
Position/Title
Business Phone:
Self Employed:
If employed for less than 2 years, or currently employed
in more than 1 position:
Employer Name:
Yrs on this Job:
Yrs Employed/Profession:
Position/Title:
Business Phone:
Self Employed:
Borrower's Credit
How do you rate your credit:
---------- Please
Select ---------- Excellent Good Fair
Explain Issues:
Co-Borrower Information:
Full Name:
Address:
City:
State:
Zip:
E-Mail:
Home Phone:
DOB:
SSN:
Martial Status:
Co-Borrower If Residing Less Than Two
Years:
Former Address (CSZ):
Number of Years at this residence:
Own/Rent:
Co-Borrower Employment:
Employer Name:
Yrs on this Job:
Yrs Employed/Profession:
Position/Title:
Business Phone:
Self Employed:
If employed for less than 2 years, or currently employed
in more than 1 position:
Employer Name:
Yrs on this Job:
Yrs Employed/Profession:
Position/Title:
Business Phone:
Self Employed
Co-Borrower's Credit
How do you rate your credit: ---------- Please Select
---------- Excellent Good Fair
Explain Issues:
Gross Monthly
Income: 
