My Loan Application
Who referred you?
Personal Information
Name
*
First Name
Middle Name
Last Name
Suffix
Social Security Number
*
Date of Birth
*
-
Month
-
Day
Year
Date
Marital Status
*
Please Select
Single
Married
Divorced
Separated
Widowed
Citizenship
*
U.S. Citizen
Permanent Resident Alien
Non-Permanent Resident Alient
Country of Citizenship
*
Do you have your EAD or Permanent Residence Card?
*
Yes
No
Contact Information
Personal Email
*
example@example.com
Work Email
example@example.com
Home Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Address
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Purpose of your loan
Loan Purpose
*
Please Select
Purchase
Refinance
HELOC
Estimated Purchase Price
Estimated Property Value
*
Down Payment Percentage
*
Down Payment Amount
Your Loan Amount
Borrow Amount
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Next
Current Monthly Housing Expenses
Are you a current home owner? Please take a moment to answer the below questions.
Do you currently own a home?
*
Yes
No
If Yes, how much was the purchase price?
Are you planning on selling this home or keeping?
*
Selling
Keeping
I do not own currently own a home
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Manage your assets
In the below fields, please indicate the assets you have to help cover closing/purchase costs.
How much is currently in your Checking Account?
*
Type "0" if not available
How much is currently in your Savings Account?
*
Type "0" if not available
How much is currently in your Stock Account?
*
Type "0" if not available
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Borrower Employment Information
If employed in a current position for less than two years or if currently employed in more than one position, choose the option to Add Another Employer. If you do not remember the exact dates of your previous employment, please enter estimated dates.
Employer 1
Please Select One
*
This is my current job
I am employed by a family member, property seller, real estate agent, or other party to the transaction
Business owner or self-employed
Prior Employment
Employer Name
*
Business Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Position
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Borrower Gross Monthly Income
I receive military pay
*
Yes
No
Employer #1 Base
*
Employer #1 Overtime
*
Employer #1 Bonuses
*
Employer #1 Commissions
*
Total Borrower Income
*
Employer 2
Please Select One
This is my current job
I am employed by a family member, property seller, real estate agent, or other party to the transaction
Business owner or self-employed
Employer Name
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Borrower Gross Monthly Income
I receive military pay
Yes
No
Employer #2 Base
Employer #2 Overtime
Employer #2 Bonuses
Employer #2 Commissions
Total Borrower Income
Employer 3
Please Select One
This is my current job
I am employed by a family member, property seller, real estate agent, or other party to the transaction
Business owner or self-employed
Employer Name
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Borrower Gross Monthly Income
I receive military pay
Yes
No
Employer #3 Base
Employer #3 Overtime
Employer #3 Bonuses
Employer #3 Commissions
Total Borrower Income
Employer 4
Please Select One
This is my current job
I am employed by a family member, property seller, real estate agent, or other party to the transaction
Business owner or self-employed
Employer Name
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Borrower Gross Monthly Income
I receive military pay
Yes
No
Employer #4 Base
Employer #4 Overtime
Employer #4 Bonuses
Employer #4 Commissions
Total Borrower Income
Employer 5
Please Select One
This is my current job
I am employed by a family member, property seller, real estate agent, or other party to the transaction
Business owner or self-employed
Employer Name
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Borrower Gross Monthly Income
I receive military pay
Yes
No
Employer #5 Base
Employer #5 Overtime
Employer #5 Bonuses
Employer #5 Commissions
Total Borrower Income
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Additional Gross Monthly Income
Please enter any other gross monthly income not related to employment below. Include only the income that you want to use towards qualifying for a loan. Notice: Allimony, child support, or separate maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for repaying this loan.
Income Source #1
Please Select
Social Security
Disability
Child Support
Capital Gains
Foster Care
Pension
Unemployment
VA
Income Source #1 Amount
Additional Income #2
Income Source #2
Please Select
Social Security
Disability
Child Support
Capital Gains
Foster Care
Pension
Unemployment
VA
Income Source #2 Amount
Additional Income #3
Income Source #3
Please Select
Social Security
Disability
Child Support
Capital Gains
Foster Care
Pension
Unemployment
VA
Income Source #3 Amount
Additional Income #4
Income Source #4
Please Select
Social Security
Disability
Child Support
Capital Gains
Foster Care
Pension
Unemployment
VA
Income Source #4 Amount
Additional Income #5
Income Source #5
Please Select
Social Security
Disability
Child Support
Capital Gains
Foster Care
Pension
Unemployment
VA
Income Source #5 Amount
Total Additional Income
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Manage Your Liabilities
Liability Source #1
Please Select
Car Payment
Credit Card Payment
Child Care
Mortgage
Installment Payments (e.g., loans)
Liability Source #1 Amount
Liability Source #2
Please Select
Car Payment
Credit Card Payment
Child Care
Mortgage
Installment Payments (e.g., loans)
Liability Source #2 Amount
Liability Source #3
Please Select
Car Payment
Credit Card Payment
Child Care
Mortgage
Installment Payments (e.g., loans)
Liability Source #3 Amount
Liability Source #4
Please Select
Car Payment
Credit Card Payment
Child Care
Mortgage
Installment Payments (e.g., loans)
Liability Source #4 Amount
Liability Source #5
Please Select
Car Payment
Credit Card Payment
Child Care
Mortgage
Installment Payments (e.g., loans)
Liability Source #5 Amount
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eConsent Agreement
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Borrower Declarations
About this property and your money for this loan
A. Will you occupy the property as your primary residence?
*
Please Select
Yes
No
B. 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
C. Are you borrowing any 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
D.1. 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
D.2. 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
E. WIll this property be the subject to a lien that could take priority over the first mortgage lien, such as clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?
*
Please Select
Yes
No
About your finances
F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?
*
Please Select
Yes
No
G. Are there any outstanding judgements against you?
*
Please Select
Yes
No
H. Are you currently delinquent or in default on a federal debt?
*
Please Select
Yes
No
I. Are you a party to a lawsuit in which you potentially have any personal financial liability?
*
Please Select
Yes
No
J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years?
*
Please Select
Yes
No
K. 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
L. Have you had property foreclosed upon in the last 7 years?
*
Please Select
Yes
No
M. Have you declared bankruptcy within the past 7 years?
*
Please Select
Yes
No
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Submit
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