| First Name |
|
| Last
Name |
|
| Co-Applicant's
First Name |
|
| Co-Applicant's
Last Name |
|
| City |
|
| State |
(where the home is located)
|
| Street
Address |
|
| Zip |
|
| Home
Phone |
|
| Work
Phone |
|
| Email
Address |
|
| Best
Time To Contact |
|
Do
you currently own a home?
|
|
| Type
of House Owned |
We do not accept mobile homes. |
| Year
House was Acquired |
|
| Current
Value |
|
| Purchase
Price |
|
| Current
Loan Type |
|
| 1st
Mortgage Balance |
|
| 2nd
Mortgage Balance |
|
| Your
Current Interest Rate |
|
| Fixed
or Adjustable? |
|
| Monthly
Payment |
|
| Behind
on Payments? |
|
| How
Would Your Rate Your Credit? |
|
| Place
of Employment |
|
| Years
on Job |
|
| Total
Household Monthly Income |
|
|
Loan Amount desired. |
|
| Type
of Loan Desired |
|
All information
collected is treated as strictly confidential and
will only be used for the purposes of a real estate
loan application. We will never sell your name
to a third party marketer.
|