Type of Mortgage and Term of Loan

Loan type applying for:      Conventional  FHA   VA

Amortization type: 30 Year Fixed 15 Year Fixed 7/1 ARM 5/1 ARM 3/1 ARM 1/1 ARM Interest Only 6 Month ARM

Loan amount applying: *

Purpose of loan:      Purchase  Refinance   Construction   Cash Out   Home Equity   Other

Explain Other:

Property Information

Street Address:

City:

Property State: Select Property StateAlabamanAlaskanAmerican SamoanArizonanArkansasnArmed Forces AfricanArmed Forces AmericasnArmed Forces CanadanArmed Forces EuropenArmed Forces Middle EastnArmed Forces PacificnCalifornianColoradonConnecticutnDelawarenDistrict Of ColumbianFdr. state_s Of MicronesianFloridanGeorgianGuamnHawaiinIdahonIllinoisnIndiananIowanKansasnKentuckynLouisiananMainenMarshall IslandsnMarylandnMassachusettsnMichigannMinnesotanMississippinMissourinMontananNebraskanNevadanNew HampshirenNew JerseynNew MexiconNew YorknNorth CarolinanNorth DakotanNorthern Mariana IslandsnOhionOklahomanOregonnPalaunPennsylvanianPuerto RiconRhode IslandnSouth CarolinanSouth DakotanTennesseenTexasnUtahnVermontnVirgin IslandsnVirginianWashingtonnWest VirginianWisconsinnWyomingn

Zip:

Number of units:  1     2  3  4

Year of build:

Property will be used as:   Primary Residence   Secondary Residence   Investment

Borrower Details

First Name:*

Mid Initial:

Last Name:*

Street Address:

City:

State: Select Borrower StateAlabamanAlaskanAmerican SamoanArizonanArkansasnArmed Forces AfricanArmed Forces AmericasnArmed Forces CanadanArmed Forces EuropenArmed Forces Middle EastnArmed Forces PacificnCalifornianColoradonConnecticutnDelawarenDistrict Of ColumbianFdr. state_s Of MicronesianFloridanGeorgianGuamnHawaiinIdahonIllinoisnIndiananIowanKansasnKentuckynLouisiananMainenMarshall IslandsnMarylandnMassachusettsnMichigannMinnesotanMississippinMissourinMontananNebraskanNevadanNew HampshirenNew JerseynNew MexiconNew YorknNorth CarolinanNorth DakotanNorthern Mariana IslandsnOhionOklahomanOregonnPalaunPennsylvanianPuerto RiconRhode IslandnSouth CarolinanSouth DakotanTennesseenTexasnUtahnVermontnVirgin IslandsnVirginianWashingtonnWest VirginianWisconsinnWyomingn

Zip:

Work Phone:

Home Phone:*

Cell Phone:

Email Address:*

Do you own the house?      Yes  No

Year at Address:

Marital Status: Married Single Separated

Is there a Co-Borrower?     Yes    No

Borrower Employment Details

Employer Name:

Employment Address:

City:

State: Select StateAlabamanAlaskanAmerican SamoanArizonanArkansasnArmed Forces AfricanArmed Forces AmericasnArmed Forces CanadanArmed Forces EuropenArmed Forces Middle EastnArmed Forces PacificnCalifornianColoradonConnecticutnDelawarenDistrict Of ColumbianFdr. state_s Of MicronesianFloridanGeorgianGuamnHawaiinIdahonIllinoisnIndiananIowanKansasnKentuckynLouisiananMainenMarshall IslandsnMarylandnMassachusettsnMichigannMinnesotanMississippinMissourinMontananNebraskanNevadanNew HampshirenNew JerseynNew MexiconNew YorknNorth CarolinanNorth DakotanNorthern Mariana IslandsnOhionOklahomanOregonnPalaunPennsylvanianPuerto RiconRhode IslandnSouth CarolinanSouth DakotanTennesseenTexasnUtahnVermontnVirgin IslandsnVirginianWashingtonnWest VirginianWisconsinnWyomingn

Zip:

Work Phone:

Your Title/Position:

Business Type:

Self-employed?     Yes    No

Years at the Job:

Years in Profession:

Income Information

Credit Information

Please enter the string shown in the image below.