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On-Line 5 Minute Loan Application
MORTGAGE INFORMATION
Loan Purpose:
Select
Purchase
Construct Home
Refinance - No Cash
Refinance - Cash Out
Refinance - Home Improvement
Refinance - Debt Consolidation
Refinance - Change Loan Type
Construction to Permanent
Other Loan Purpose
Loan Type:
Select
30 Year Fixed
20 Year Fixed
15 Year Fixed
10 Year Fixed
5 Year Balloon
7 Year Balloon
FHA 30 Year Fixed
VA 30 Year Fixed
USDA/Rural Housing Service
Estimate Closing Time:
Select
Immediately
1 Month
2 Months
More than 3 Months
Loan Amount:
Source of Down Payment:
Select
Checking Account
Deposit on Sales Contract
Equity on Sold Property
Equity from Pending Sale
Equity from Subject Property
Cash-Gift
Stocks and Bonds
Lot Equity
Financing Secured Property
Cash Borrowed
Trust Funds
Retirement Funds
Rent with Option to Purchase
Life Insurance Cash Value
Sale of Chattel
Trade Equity
Sweat Equity
Cash on Hand
Other Type of Payment
Secured Borrowed Funds
Amortization Type:
Select
Fixed Rate
ARM
GPM
Other
Down Payment Amount:
PROPERTY INFORMATION
Property Will Be:
Select
Primary Residence
Secondary Residence
Investment Property
Property Market Value /
Purchase Price:
Zip:
Address:
City:
State:
BORROWER INFORMATION
Full Name:
Zip:
Social Security Number:
(Please use the following format: 123-456-7891)
Address:
City:
State:
Email:
Work Phone:
(Please use the following format: 225-123-4567)
Home Phone:
(Please use the following format: 225-123-4567)
Current Employer:
Time With Employer:
Gross Monthly Income:
Credit History
Select
Excellent
Good but some lates
Some credit problems
Major credit problems
Unknown
Self Employed?
Select
Yes
No
Date Of Birth:
(Please use the following format: 10-13-1971)
CO-BORROWER INFORMATION
First Name:
Last Name:
Zip:
Address:
City:
State:
Email:
Work Phone:
(Please use the following format: 225-123-4567)
Home Phone:
(Please use the following format: 225-123-4567)
Current Employer:
Time With Employer:
Gross Monthly Income:
Credit History
Select
Excellent
Good but some lates
Some credit problems
Major credit problems
Unknown
Self Employed?
Select
Yes
No
Date Of Birth:
Social Security Number:
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