Mortgage Loan Application Form
Full Name (As Appears on Driver's License)
*
First Name
Last Name
Email
*
example@example.com
Best Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Realtor Name
*
First Name
Last Name
Anticipated Down Payment Amount
*
Maximum Monthly Payment You're Comfortable With
*
Occupancy
*
Please Select
Primary Home
Secondary Home
Investment Home
HELOC
Social Security Number
*
Date of Birth
*
-
Month
-
Day
Year
Married Status
*
Please Select
Married
Unmarried
Separated
Divorced
Do you have dependents?
*
Please Select
Yes
No
If yes, what are your dependents ages? Please separate ages by a comma.
*
Estimated Credit Score
*
Are you a first time homebuyer?
*
Please Select
Yes
No
Present Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you rent or own?
*
Please Select
Rent
Own
If you rent, how much do you pay a month for rent?
*
If you own, do you have a monthly mortgage payment?
*
Please Select
Yes
No - home is paid in full
Date you moved into current address
*
-
Month
-
Day
Year
Have you lived at this property for at least 2 years?
*
Please Select
Yes
No
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date you moved into previous address
-
Month
-
Day
Year
How much did you pay monthly for rent?
Borrower (or deceased spouse) ever serve, or currently serving, in the United States Armed Forces?
*
Please Select
None
Currently serving or active duty with projected expiration date of service/tour
Currently retired, discharged or separated from service
Only period of service was as a non-activated member of the Reserve or National Guard
Surviving spouse
Will you occupy the property as your primary residence?
*
Please Select
Yes
No
Have you had an ownership interest in another property in the last three years?
Please Select
Yes
No
If this is a purchase transaction: Do you have a family relationship or business affiliation with the seller of the property?
*
Please Select
Yes
No
Are you borrowing money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?
*
Please Select
Yes
No
Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?
*
Please Select
Yes
No
Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?
*
Please Select
Yes
No
Will this property be subject to a lein that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?
*
Please Select
Yes
No
Are you a co-signer or guarantor on any debt or land that is not disclosed on this application?
*
Please Select
Yes
No
Are there any outstanding judgements against you?
*
Please Select
Yes
No
Are you currently delinquent or in default on a Federal debt?
*
Please Select
Yes
No
Are you a party to a lawsuit in which you potentially have any personal financial liability?
*
Please Select
Yes
No
Have you conveyed title to any property in lieu of foreclosure in the past 7 years?
*
Please Select
Yes
No
Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?
*
Please Select
Yes
No
Have you had property foreclosed upon in the last 7 years?
*
Please Select
Yes
No
Have you declared bankruptcy within the past 7 years?
*
Please Select
Yes
No
If yes, what type of bankruptcy?
Chapter 7
Chapter 11
Chapter 12
Chapter 13
Are you employed by a family member?
*
Please Select
Yes
No
Employer
*
Job Position Title
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Start Date
*
-
Month
-
Day
Year
Date
Are you paid hourly or salary?
*
Please Select
Hourly
Salary
If hourly, how much do you make per hour?
*
If salary, how much do you gross per month?
*
How many hours do you work per week?
*
Please list any previous jobs that you have had within the past 24 months, we MUST have a 24 month history.
1) Previous Employer Name : Previous Employer Address : Previous Employer Phone Number : Previous Job Title : Month and Year You Started This Job : Month and Year You Stopped Working At This Job : Monthly or Yearly Income: 2) Previous Employer Name : Previous Employer Address : Previous Employer Phone Number : Previous Job Title : Month and Year You Started This Job : Month and Year You Stopped Working At This Job : Monthly or Yearly Income: 3) Previous Employer Name : Previous Employer Address : Previous Employer Phone Number : Previous Job Title : Month and Year You Started This Job : Month and Year You Stopped Working At This Job : Monthly or Yearly Income: 4) Previous Employer Name : Previous Employer Address : Previous Employer Phone Number : Previous Job Title : Month and Year You Started This Job : Month and Year You Stopped Working At This Job : Monthly or Yearly Income:
Do you pay alimony?
*
Please Select
Yes
No
If yes, how much alimony do you pay?
Do you receive alimony?
*
Please Select
Yes
No
If yes, how much alimony do you receive?
Do you pay child support?
*
Please Select
Yes
No
If yes, how much child support do you pay per month?
Do you receive child support?
*
Please Select
Yes
No
If yes, how much child support do you receive per month?
Do you own other properties?
*
Please Select
Yes
No
If yes, please list all the properties you own:
If you do not own any properties please state "none" here
Attention*
The following questions do not impact the loan decision, it is for government monitoring purposes only.
Citizenship
*
Please Select
US Citizen
Permanent Resident Alien
Non Permanent Resident Alien
Race
*
Ethnicity
*
Gender
*
Please Select
Female
Male
Do not with to provide
I agree that all of the information above is correct.
*
I agree
You have my permission to pull a hard credit check at this time.
*
I consent
I do not consent
Submit
Should be Empty: