Apply Now!
Loan Amount:* $
Interest Rate    %
Loan Term:  

If you have been working with any of our Loan Officers, or if you have been referred by another individual, please enter their name(s) here:

  Property Information
Street Address:   
City, State, Zip:   
Loan Purpose:  
Property Type:  
Value $
Purchase Price $
Year Built   
Property Use  

  Borrower's Information
First Name:*   
Middle:   
Last Name:*   
Social Security Number:    - -
Home Phone Number:* ( ) -
Work Phone Number: ( ) -   Ext.
E-Mail Address:*   
Current Age:   
Marital Status:  

  Borrower's Dependents
Do not include yourself or other borrower, or any dependents listed by other borrower.

Number:   
Ages:
(example: 3, 10, 16) 		  

  Borrower's Present Address
Street Address:   
City, State, Zip:   
Own or Rent:  
Number of Years:    years    months

  Borrower's Previous Address
Complete the following if residing at present address for less than two years.

Street Address:   
City, State, Zip:   
Own or Rent:  
Number of Years:    years    months

  Co-Borrower's Information
First Name:   
Middle Name:   
Last Name:   
Social Security Number:    - -
Home Phone Number: ( ) -
Work Phone Number: ( ) -   Ext.
Current Age:   
Marital Status:  

  Co-Borrower's Dependents
Do not include yourself or other borrower, or any dependents listed by other borrower.

Number:   
Ages:
(example: 3, 10, 16) 		  

  Co-Borrower's Present Address
Street Address:   
City, State, Zip:   
Own or Rent:  
Number of Years:    years    months

  Co-Borrower's Previous Address
Complete the following if residing at present address for less than two years.

Street Address:   
City, State, Zip:   
Own or Rent:  
Number of Years:    years    months

  Borrower's Employment Information
Employer's Name:   
Street Address:   
City, State, Zip:   
Position/Title:   
Type Of Business:   
Years on this job:    years    months
Self Employed:  

  Borrower's Previous Employer
Complete the following if employed in current position for less than two years, or if currently employed in more than one position.

Employer's Name:   
Street Address:   
City, State, Zip:   
Position/Title:   
Type Of Business:   
Years on this job:    years    months
Self Employed:  

  Co-Borrower's Employment Information
Employer's Name:   
Street Address:   
City, State, Zip:   
Position/Title:   
Type Of Business:   
Years on this job:    years    months
Self Employed:  

  Co-Borrower's Previous Employer
Complete the following if employed in current position for less than two years, or if currently employed in more than one position.

Employer's Name:   
Street Address:   
City, State, Zip:   
Position/Title:   
Type Of Business:   
Years on this job:    years    months
Self Employed:  

  Monthly Income and Combined Housing Information
Borrower's Monthly Gross Income:*    $
Co-Borrower's Monthly Gross Income:    $
If you are renting, how much is your rent payment?    $
First Mortgage (Principal & Interest):    $
Second Mortgage (Principal & Interest):    $
Hazard Insurance:    $
Real Estate Taxes:    $
Mortgage Insurance:    $
Homeowners Associations Dues:    $

  Assets and Liabilities
Do you have a checking or savings account?     
Who holds the cash deposit for your purchase contract?      
If you are receiving a gift to pay your down payment, how much is your gift amount?    $
What is the down payment on the property (excluding gift amount)?    $
How much do you have in reserves (cash in checking or savings accounts, CD's stocks and bonds, etc.)?    $
How much sales concessions do you receive? (If the seller or a real estate agent is paying some of the closing costs, how much is it?)    $
Are you obtaining secondary financing on the property? What amount?    $
Subtotal Liquid Assets:    $
What is the total payment of all your debts, excluding housing (credit card, auto, etc.)?    $

  Other Properties
Please enter the following information for any properties you own (excluding your primary residence).

Property Type Market
Value 		Mtg.
Balance 		Rental
Income 		Monthly
Payment

  Declarations
Declarations Borrower Co-Borrower
yes | no yes | no
A.   Are there any outstanding judgements against you? ...
B.   Have you been declared bankrupt within the past 7 years? ...
C.   Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? ...
D.   Are you a party to a lawsuit? ...
E.   Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? ...
F.   Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? ...
G.   Are you obligated to pay alimony, child support, or separate maintenance? ...
H.   Is any part of the down payment borrowed? ...
I.   Are you the co-maker or endorser on a note? ...
J.   Are you a U.S. citizen? ...
K.   Are you a permanent resident alien? ...
L.   Do you intend to occupy the property as your primary residence? ...
M.   Have you had an ownership interest in a property in the last three years? ...

  Comments