Mortgage Loan Application

Mortgage Loan Application
Loan Purpose*
Loan Type*
Borrowers Information
Military?*

YesNo
Military Status*
Branch of Military*
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Social Security Number *
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Monthly Rent *
Ownership Type*
Time at Address*
Have you been at this address less than 2 years? *

YesNo
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Type*
Monthly Rent *
Time at Address*

Employment History
Employment Type*
Current Employment*
Employers Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job Title*
Years on the Job *
Dates of Employments Start and End*
Income Type*
Monthly Gross Income (Before Taxes)*
in USD
Any Additional Income?*

YesNo
Additional Income Type
Monthly Gross Income (Before Taxes)
in USD
Any Additional Employment?*

YesNo
Employment Type
Additional Employer*
Additional Employers Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job Title*
Years on the Job *
Dates of Employments Start and End*
Have you been at you current employer less than 2 years?*

Yes, please list your previous employerNo
Previous Employment Type
Monthly Gross Income (Before Taxes)*
in USD
Previous Employer*
Previous Employers Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Employers Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Previous job Title*
Years on the Job *
Dates of Employments Start and End*
Monthly Gross Income (Before Taxes)*
in USD
Income Type*
Income Type
Other Income (Before Taxes)
in USD

Credit History
Have you filed for Bankruptcy in the last 4 years?*

YesNo
Bankruptcy Type*
Discharged Date*
Any foreclosures in the last 4 years?*

YesNo
Forecloseure Date*

Borrower Assests
Do you have a down payment?*

YesNo
Amount for down payment
Name of Bank
Type of Account
Amount on Hand
Additional Type of Account
Additional Amount on Hand
Will there be a Co-Borrower?

YesNo

Co-Borrower Information
Relationship to Borrower*
Co-Borrower*

First NameMiddle NameLast Name
Social Security Number*
Birth Date*

MonthDayYear
Date
Co-Borrower Phone Number
Format: (000) 000-0000.
Co-Borrower Email*
example@example.com
Co-Borrower Address*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Type*
Monthly Rent*
Time at Address*
Have you been at this address less than 2 years? *

YesNo
Previous Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Type*
Monthly Rent*
Time at Address*
Employment Type
Current Employer
Current Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job Title*
Years on the Job *
Gross Monthly Income*
Dates of Employments Start and End*
Have you been at this employer less than 2 years?*

YesNo
Any Additional Employment, ie.. part-time, or self-employment, Uber/Lyft ?*

YesNo
Previous Employer
Previous Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job Title*
Years on the Job *
Gross Monthly Income*
Dates of Employments Start and End*
Additional Employer
Additional Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Job Title*
Years on the Job *
Dates of Employments Start and End*
Gross Monthly Income*

Co-Borrower Credit History
Have you filed for Bankruptcy in the last 4 years?*

YesNo
Bankruptcy Type*
Discharged Date*
Any foreclosures in the last 4 years?*

YesNo
Forecloseure Date*

Co-Borrowers Assests
Co-Borrower Assests different from Borrower? *

YesNo
Amount Down*
Name of Bank *
Type of Account*
Amount on Hand *
Do you have Additional Assests ie.. CD, 401k, Mutual Funds, Money Market Fund?

YesNo
Additional Type of Account*
Amount on Hand *
Other Income Type*
Amount on Hand *

Subject Property Infomation
Residency Type
Property Type*
Year Built *
in USD
Estimated Property Value *
in USD
Loan Amount*
in USD
Current Interest Rate*
(%)
How many years remaining on cuurent loan? *
Bank Name*

Documents Needed List

Provide all that apply
Please Provide for all Borrowers*
Document Upload*

Cancelof
All information on this application is correct to the best of my knowledge. I understand that you will retain this application whether or not a loan is approved. I / We authorize Affinity Mortgage Brokers and its affiliates to check my credit, by a had or soft pull, employment history, and to answer questions about your credit experience with me. I am also aware by siging this form the Affinity Mortgage Brokers is not legally allowed to provide the credit report to me and that I must contact the credit company If I want to obtain a copy of my consumer report and my credit score.
Borrower's Signature*
Date*

MonthDayYear
Date
Co-Borrower's Signature*
Date*

MonthDayYear
Date
COMMENTS
For any reason you can't complete this form, click the "Save and Continue Later" button and access the form through a copy sent to the email you listed. There is a link at the bottom of the form titled "edit this submission" to access later.
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Mortgage Loan Application

Borrowers Information

Employment History

Credit History

Borrower Assests

Co-Borrower Information

Co-Borrower Credit History

Co-Borrowers Assests

Subject Property Infomation

Documents Needed List