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| Applying for a loan or getting more information is easy. Fill out the following On-Line Application Form. This is highly recommended if you are ready to apply. This process will take 2-5 minutes. A Loan Officer will contact you once we receive your application. You can also call us at (800) 232-5171 and we will take your application over the phone. |
| Borrower's First Name: |
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Co-Borrower's First Name: |
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| Borrower's Last Name: |
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Co-Borrower's Last Name: |
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| Borrower's SSN: |
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Co-Borrower's SSN: |
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| Borrower's Home Telephone: |
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Co-Borrower's Home Telephone: |
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| Borrower's Cellphone: |
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Co-Borrower's Cellphone: |
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| Borrower's E-mail Address: |
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Co-Borrower's E-mail Address: |
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| Borrower's Date of Birth: |
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Co-Borrower's Date of Birth: |
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| Borrower's Years In School: |
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Co-Borrower's Years In School: |
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| i.e. - 12 for high school, 16 for college, etc. |
| Borrower's Present Address: |
| City: |
State: |
Zipcode: |
| Own |
Rent |
Number of Years: |
| Co-Borrower's Present Address: |
| City: |
State: |
Zipcode: |
| Own |
Rent |
Number of Years: |
| Borrower's Previous Address if Present is less than 2 Years: |
| City: |
State: |
Zipcode: |
| Own |
Rent |
Number of Years: |
| Co-Borrower's Previous Address if Present is less than 2 Years: |
| City: |
State: |
Zipcode: |
| Own |
Rent |
Number of Years: |
| Subject Property Address: |
| City: |
State: |
Zipcode: |
| Primary Residence |
Second Home |
Investment Property |
| Expected Sales Price: $ |
| - enter a number without punctuation |
| Downpayment or Amount Willing to Pay in Order to Move In: % |
| - enter a % down, i.e. 0%, 5%, 10%, or 20 |
| Loan Term: (i.e. - 180, 240, or 360 month loan) |
| Loan Type |
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Fixed Rate |
ARM |
ARM Type: years (3, 5, 7, 10) |
| Purpose of Loan: (i.e. - purchase, refinance, construction, or construction-permanent) |
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Purchase |
Refinance (cash out) |
Refinance (no cash out) |
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Construction |
Construction (Permanent) |
| - additional information will be required if this loan is a refinance or a construction-permanent loan |
| Borrower's Employer Name: |
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| Borrower's Employer Address: |
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| City: |
State: |
Zipcode: |
| Borrower's Position/Title: |
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| Borrower's Employer Phone Number: |
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| Borrower's Years on Job: |
Months: |
| Borrower's Years in Same Type of Work: |
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| Borrower's Previous Employer Name: |
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| Borrower's Previous Employer Address: |
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| City: |
State: |
Zipcode: |
| Borrower's Previous Position/Title: |
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| Borrower's Previous Employer Phone Number: |
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| Dates Employed From |
To: |
| Co-Borrower's Employer Name: |
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| Co-Borrower's Employer Address: |
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| City: |
State: |
Zipcode: |
| Co-Borrower's Position/Title: |
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| Co-Borrower's Employer Phone Number: |
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| Co-Borrower's Years on Job: |
Months: |
| Co-Borrower's Years in Same Type of Work: |
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| Co-Borrower's Previous Employer Name: |
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| Co-Borrower's Previous Employer Address: |
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| City: |
State: |
Zipcode: |
| Co-Borrower's Previous Position/Title: |
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| Co-Borrower's Previous Employer Phone Number: |
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| Dates Employed From |
To: |
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| Gross Monthly Income |
Borrower |
Co-Borrower |
| Base Income (Salary): |
$ |
$ |
| Overtime: |
$ |
$ |
| Bonuses: |
$ |
$ |
| Commissions: |
$ |
$ |
| - for salary divide yearly by 12 |
| - for overtime, bonuses, and commission average last 24 months and divide by 24 |
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| Current Monthly Rent Payment: (n/a if currently paying a mortgage) |
| Currently Monthly Mortgage Payment: total PITI, principal, interest, taxes, and insurance |
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| Assets: |
| Earnest Money Already Deposited in the amount of |
| List all Checking & Savings Accounts: |
| Name of Bank: |
Type of Account: |
Balance: $ |
| Name of Bank: |
Type of Account: |
Balance: $ |
| Name of Bank: |
Type of Account: |
Balance: $ |
| Name of Bank: |
Type of Account: |
Balance: $ |
| Name of Bank: |
Type of Account: |
Balance: $ |
| Stocks or Bonds: |
| Company Name: |
Value: $ |
| Company Name: |
Value: $ |
| Automobiles: |
| Year, Make, & Model: |
Market Value: $ |
| Year, Make, & Model: |
Market Value: $ |
| Vested Interest in Retirement Fund: $ |
| - take 70% of total value for qualification purposes |
| Other Assets (Personal Property, etc): $ |
| - if everything you owned needed to be replaced, give a general estimate of the incurred costs |
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| Real Estate Owned: |
Property Address:
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City, State, Zip:
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Property Description:
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Property Type:
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Present Market Value:
$ |
Mortgage Payments:
$ |
Property Address:
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City, State, Zip:
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Property Description:
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Property Type:
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Present Market Value:
$ |
Mortgage Payments:
$ |
Property Address:
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City, State, Zip:
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Property Description:
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Property Type:
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Present Market Value:
$ |
Mortgage Payments:
$ |
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| Please explain in detail any other pertinent information about what type of loan you are seeking in the space below: |
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| Please check this box to signify that you are entirely finished with the loan application. This box must be checkmarked before you can submit your application. Thank you. |
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