Real Estate Loan Application
BORROWER INFO
First Name
*
Middle Name
Last
*
Suffix
Home Phone
Please enter a valid phone number.
Email
*
Please enter a valid email address.
Cell Phone
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Marital Status
*
Married
Unmarried
Separated
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you own or rent?
*
I owned the home
I rented
How many years have you lived here?
*
Dependents
Number of Dependents
*
Ages
Please separate ages with commas.
BORROWER EMPLOYMENT
Please select one below.
*
I am currently employed
I am not currently employed
I am self-employed
My monthly income comes from investments, retirement, etc
Most Recent Employer
Employer Name
*
Employer Phone Number
*
Please enter a valid phone number.
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
Job Title
*
Gross (Total) Monthly Income
*
Employer Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Days Employed
Previous Employer
Employer Name
*
Employer Phone Number
*
Please enter a valid phone number.
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
Job Title
*
Gross (Total) Monthly Income
*
Employer Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
HOME MORTGAGE DISCLOSURE ACT
This information is requested to comply with the Home Mortgage Disclosure Act
I do not want to furnish the information asked below.
I am
*
Hispanic or Latino
Not Hispanic or Latino
Race
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Gender
*
Female
Male
Male and Female
QUESTIONS YOU MUST ANSWER (DECLARATIONS)
a. Are there any outstanding judgments against you?
*
Yes
No
b. Have you been declared bankrupt in the past 7 years?
*
Yes
No
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
*
Yes
No
d. Are you party to a lawsuit?
*
Yes
No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, loan guarantee. If yes, provide details, including date, name and address of lender, FHA or VA case number, if any, and reasons for the action.
*
Yes
No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If yes, give details as described in the preceding question.
*
Yes
No
g. Are you obligated to pay alimony, child support, or separate maintenance?
*
Yes
No
h. Is any part of the down payment borrowed?
*
Yes
No
i. Are you a co-maker or endorser on a note?
*
Yes
No
j. Are you a U.S. citizen?
*
Yes
No
k. Are you a permanent resident alien?
*
Yes
No
l. Do you intend to occupy the property as your primary residence? If yes, complete question m below.
*
Yes
No
m. Have you had an ownership interest in a property in the last three years?
*
Yes
No
1. What type or property did you own?
*
Please Select
Principal Residence
Second Home
Investment Property
2. How did you hold title to the home?
*
Please Select
Solely
Jointly with Spouse
Jointly with Another Person
CO-BORROWER
Will there be co-borrower?
*
Yes
No
CO-BORROWER INFO
First Name
*
Middle Name
Last
*
Suffix
Home Phone
Please enter a valid phone number.
Cell Phone
*
Please enter a valid phone number.
Email
*
Please enter a valid email address.
Date of Birth
*
-
Month
-
Day
Year
Marital Status
*
Married
Unmarried
Separated
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you own or rent?
*
I owned the home
I rented
How many years have you lived here?
*
Dependents
Number of Dependents
*
Ages
Please separate ages with commas.
CO-BORROWER EMPLOYMENT
Please select one below.
*
I am currently employed
I am not currently employed
I am self-employed
My monthly income comes from investments, retirement, etc
Most Recent Employer
Employer Name
*
Employer Phone Number
*
Please enter a valid phone number.
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
Job Title
*
Gross (Total) Monthly Income
*
Employer Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Days Employed
Previous Employer
Employer Name
*
Employer Phone Number
*
Please enter a valid phone number.
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
Job Title
*
Gross (Total) Monthly Income
*
Employer Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
CO-BORROWER HOME MORTGAGE DISCLOSURE ACT
This information is requested to comply with the Home Mortgage Disclosure Act
I do not want to furnish the information asked below.
I am
*
Hispanic or Latino
Not Hispanic or Latino
Race
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Gender
*
Female
Male
Male and Female
CO-BORROWER QUESTIONS YOU MUST ANSWER (DECLARATIONS)
a. Are there any outstanding judgments against you?
*
Yes
No
b. Have you been declared bankrupt in the past 7 years?
*
Yes
No
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
*
Yes
No
d. Are you party to a lawsuit?
*
Yes
No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, loan guarantee. If yes, provide details, including date, name and address of lender, FHA or VA case number, if any, and reasons for the action.
*
Yes
No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If yes, give details as described in the preceding question.
*
Yes
No
g. Are you obligated to pay alimony, child support, or separate maintenance?
*
Yes
No
h. Is any part of the down payment borrowed?
*
Yes
No
i. Are you a co-maker or endorser on a note?
*
Yes
No
j. Are you a U.S. citizen?
*
Yes
No
k. Are you a permanent resident alien?
*
Yes
No
l. Do you intend to occupy the property as your primary residence? If yes, complete question m below.
*
Yes
No
m. Have you had an ownership interest in a property in the last three years?
*
Yes
No
1. What type or property did you own?
*
Please Select
Principal Residence
Second Home
Investment Property
2. How did you hold title to the home?
*
Please Select
Solely
Jointly with Spouse
Jointly with Another Person
SIGN AND SUBMIT
Borrower's Signature
*
Co-Borrower's Signature
*
Submit
Should be Empty: