The purpose of the following loan application is to help us gather as much information about your mortgage needs as possible. The more information that you care to provide to us; the better we will be able to truly judge your individual financial situation.

1  Your Name: 

2  Address: 

3  City: 

4  State: 

5  Zip: 

6  Email: 

6  Daytime Phone:    Please Include Area Code

7  Evening Phone:    Please Include Area Code

8  Best Time To Reach You: 

9  Are you looking to refinance your home?:  Click To Choose Options Yes No   (If "No" Skip To Question #15)

10.  What is your home worth approximately?: 

11.  What do you currently owe on the home?: 

12.  What is your current mortgage payment?: 

13.  Does this payment include taxes and insurance?:  Click To Choose Options Yes No

14.  What is your estimated monthly tax and insurance payment?: 

15.  Are you looking to purchase a property?:  Click To Choose Options Yes No

16.  What type of property is the subject property?

  Single Family Home

  2-4 Family Home

  1-2 Story Condo

  High Rise Condo

  Commercial Building

  Mobile Home

Note:  If you checked "commercial building" please call us.
Note:  If you checked "mobile home" we are unable to help you at this time.

17.  What is the purchase price of the property?: 

18.  Will this property be:  Click To Choose Options Second Home Investment Property Owner Occupied

19.  How do you rate your credit?:  Click To Choose Options Good Fair Poor

20.  How does your co-applicant rate their credit?:  Click To Choose Options Good Fair Poor

21.  What is your gross annual income?: 

22.  What is your co-applicants gross annual income?: 

23.  What are your current obligations?: 

  Automobile

  Credit Cards

  Loans

  Child Support (Monthly)

  Alimony (Monthly)

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