Mortgage Application
 
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Purpose of the loan:
Mortgage Type:
1st   2nd   home equity
Loan Amount Request:
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Property To Be Financed (if known):
       
Address:
Unit #:
City:
State:
Zip:
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If Refinancing, Fill Out The Following Information:
       
When Did You Purchase?
 
What Was The Purchase Price?
 
What Would Be The Current Value?
Do You Own Other Properties?
yes   no
  If So, How Many
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Existing Mortgages:
 
           
Monthly Payment
Monthly Taxes
Monthly Insurance
Balance
1st Mtg:
2nd Mtg:
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If Purchasing A Home, Fill Out The Following Information:
       
When Do You Expect To Purchase:
When Will Home Be Completed:
What Is The Purchase Price:
What Is Your Down Payment:
Do You Own Other Properties:
yes   no
  If So, How Many:
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Personal Information:
              Applicant
          Co-Applicant
First Name:
Last Name:
Social Security Number:
Email Address:
Home Phone:
Work Phone:
How Is Your Credit?
Married To Co-Applicant?
yes   no
  
Best Time To Contact You?
 
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Residence:
       
Current Address:
Unit #:
City:
State:
Zip:
Do You Own This Property Or Rent?
own   rent
How Long Have You Lived Here?
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Employment History:
 
Applicant
Co-Borrower
  
 
Employer Name:
 
 
Gross Monthly Income:
 
 
Your Position (title):
 
 
Self-Employed:
 
 
Time With Company:
 
 
Phone Number
 
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Previous Emplyer (if less than 2 years at current employer)
 
 
Applicant
Co-Borrower
  
 
Employer Name:
 
 
Gross Monthly Income:
 
 
Your Position (title):
 
 
Time With Company:
 
 
Phone Number:
 
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Comments or Questions: