ONLINE 1003 LOAN APPLICATION CARLOS MATOS

1
Borrower Name* This field is required.
2
Borrower Contact Information* This field is required.
Primary Mobile Phone
Email Address
3
Date of Birth * This field is required.
4
Social Security Number* This field is required.
5
Martial status * This field is required.
Please Select
Please Select
Single
Married
Divorced
Divorced w/ Alimony
Divorced w/ Alimony & Child Support
6
Dependents
Please Select
Please Select
Children
Non-Custodial
Parents
Direct Family Relatives
Distant Relatives
None of the above
7
Your Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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
8
Have you lived at that address for more than two years?
YESNO
9
Borrower Mortgage Event HistoryWithin the last 7 years
Bankruptcy
Foreclosure
Short Sale
Deed in Lieu
NONE OF THE ABOVE
10
Borrower Loan Information
Select
Select
Applying individually
Applying jointly with spouse
Applying jointly with another person
More than 2 people applying for this loan
Who is applying for this loan?
Select
Select
Single family
Multi-family
Condominium
Mixed property
Commercial Property
Mobile/Manufactured
Property Description
Select
Select
Purchase - I'm purchasing a property and I have an accepted contract with a seller.
Pre-qualification - I'm shopping for a property and I don't have an accepted contract with a seller.
Refinance Existing Balance - I'd like to refinance the existing mortgage balance on my property.
Refinance to Obtain Cash - I'd like to refinance my property and obtain cash at closing.
Purpose of the Loan
Select
Select
100,000
110,000
120,000
135,000
145,000
150,000
160,000
175,000
200,000
225,000
250,000
275,000
300,000
375,000
400,000
475,000
500,000
525,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
ABOVE 3 MIL
Requested Loan Amout
11
Is the Primary Borrower Retired?
YESNO
12
Borrower primary source of income?* This field is required.
W-2 Wage EarnerSelf-Employed
13
Borrower Annual Income (if Wage Earner)No decimals / example is $2,000 enter 2000
Monthly W-2 Income
Total Tips, Bonus, Commissions:
Employer
Job Title
14
Borrower Annual Income (if Self-Employed)Please do not include decimals
Last Years 1099 Income
Highest Total Bank Deposits last 12 Months
Highest Total Bank Deposits last 24 Months
Closing Cost / Down payment / Reserves
15
List Retirement Income for Primary Borrower
Social Security Income
Disability Income
Annuities & Pensions
Third Party Income
16
Is there a Co-Borrower?* This field is required.
YESNO
17
Co-Borrower Contact Information
Borrowers Name
Mobile Telephone
Your Email Address
Date of Birth
18
Co-Borrower Personal Information
Select
Select
720 or above
660 - 719
620 - 659
550 - 619
Below 549
Rate Your Credit Score
Select
Select
Single
Married
Divorced
Divorced w/ Alimony
Divorced w/ Alimony & Child Support
Marital Status
Select
Select
Children
Non-Custodial
Parents
Direct Family Relatives
Distant Relatives
None of the above
Dependents
Social Security Number
19
Is the Co-Borrower Retired
YESNO
20
Co-borrower primary source of income?
W-2 Wage EarnerSelf-Employed
21
Co-borrower Annual Income (if Self-Employed)Please do not include decimals
Last Years 1099 Income
Highest Total Bank Deposits last 12 Months
Highest Total Bank Deposits last 24 Months
Closing Cost / Down payment / Reserves
22
Co-borrower Annual Income (if Wage Earner)No decimals / example is $2,000 enter 2000
Monthly W-2 Income
Total Tips, Bonus, Commissions:
Employer
Job Title
23
List Retirement Income for Co-Borrower
Social Security Income
Disability Income
Annuities & Pensions
Third Party Income
24
Are you a US Citizen?* This field is required.
YESNO
25
Are you a Permanent Resident Alien?* This field is required.
YESNO
26
Are there any outstanding judgements against you? * This field is required.
YESNO
27
Are you a party to an active lawsuit?* This field is required.
YESNO
28
Do you have an active IRS tax Lien?* This field is required.
YESNO
29
Do you have any deferred Student Loans? * This field is required.
YESNO
30
How did you hear about us? * This field is required.
Google Review
Our Website
Online Ad
Email Flyer
Zillow
Better Business Bureau
Marketing Brochure
Realtor Referral
How did you Hear about us?
31
Realtor/Consultant Name * This field is required.
32
Credit Check* This field is required.
The Borrower and Co-Borrower (if any) hereby grant permission to 1st Florida Lending Corp., to obtain all information deemed necessary to process your mortgage loan application. This information includes, but is not limited to, your past and present employment status, your deposit accounts, your past and present consumer credit record, your mortgage record and/or your rental record.1st Florida lending Corp agrees to obtain your permission and consent before pulling your credit is required.
33
Patriot Act* This field is required.
The Borrower and Co-Borrower (if any) hereby acknowledge and agree that to help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: As part of applying for your mortgage loan, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
34
Electronic Disclosure* This field is required.
The Borrower and Co-Borrower (if any) hereby acknowledge and agree that by applying for a loan on-line, you agree to accept all applicable disclosures associated with this transaction in an electronic form, including disclosures required by the Truth in Lending Act, Real Estate Settlement Procedures Act and Equal Credit Opportunity Act. Paper copies will be provided for certain real estate related contracts and transactions after your loan application is received including but not limited to copies of any Mortgage events such as foreclosures, short sales and bankruptcies that would affect your ability to obtain a loan.
35
* This field is required.
36
Customer Service
37
Signature Required* This field is required.You can sign using your mouse, pointer or finger on touch screen on any mobile phone
Should be Empty: