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Complete Application

MORTGAGE TYPE
Mortgage Applied for:
VA
FHA
Conventional
USDA/Rural Housing Service
Other

Amount : $	:
Interest Rate %	:
No. of Months	:

Amortization Type:
Fixed Rate
GPM
Other
ARM

PROPERTY INFORMATION

Subject Property Address (street, city, state, & ZIP)	:
No. of Units	:
No. of Months	:
Legal Description of Subject Property	:
Year Built	:

Purpose of Loan
Purchase
Refinance
Construction
Construction-Permanent
Other

Property will be:
Primary Residence
Secondary Residence
Investment

Check the following, if construction or construction-permanent loan.

Year Lot Acquired	:
Original Cost $	:
Amount Existing Liens $	:
(a) Present Value of Lot $	:
(b) Cost of Improvements $	:
Total (a + b) $

Check the following, if this is a refinance loan.

Year Acquired	:
Original Cost $	:
Amount Existing Liens $	:
Purpose of Refinance	:

Describe Improvements
Cost: $
made
to be made

Title will be held in what Name(s)	:
Manner in which Title will be held	:

Estate will be held in:
Fee Simple
Leasehold

Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain)

BORROWER INFORMATION

BORROWER
Borrower’s Name (include Jr. or Sr. if applicable)	:
Social Security Number	:
Home Phone (incl. area code)	:
DOB (MM/DD/YYYY)	:
Yrs. School	:
Married Separated Unmarried (include single, divorced, widowed)
Dependents (not listed by Co-Borrower)	:	number. Age
Present Address (street, city, state, ZIP)	:	Own Rent

Mailing Address, if different from Present Address

If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP)	:	Own Rent

CO - BORROWER
Borrower’s Name (include Jr. or Sr. if applicable)	:
Social Security Number	:
Home Phone (incl. area code)	:
DOB (MM/DD/YYYY)	:
Yrs. School	:
Married Separated Unmarried (include single, divorced, widowed)
Dependents (not listed by Co-Borrower)	:	number. Age
Present Address (street, city, state, ZIP)	:	Own Rent

Mailing Address, if different from Present Address

If residing at present address for less than two years, complete the following:
Former Address (street, city, state, ZIP)	:	Own Rent

EMPLOYMENT INFORMATION

BORROWER
Name & Address of Employer	:
Self Employed, Years on this job	:
Years employed in this line of work / profession	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer	:
Self Employed, Dates : from - to	:
Monthly Income ($)	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:
Name & Address of Employer	:
Self Employed, Dates : from - to	:
Monthly Income ($)	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:

CO-BORROWER
Name & Address of Employer	:
Self Employed, Years on this job	:
Years employed in this line of work / profession	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name & Address of Employer	:
Self Employed, Dates : from - to	:
Monthly Income ($)	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:
Name & Address of Employer	:
Self Employed, Dates : from - to	:
Monthly Income ($)	:
Position/Title/Type of Business	:
Business Phone (incl. area code)	:
Name & Address of Employer	: