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Step One
Step Two
Step Three
Step Four
Step Five
Borrower Information
*
Requried Information
First Name
*
Middle Name
Last Name
*
(Include Jr. or Sr. if applicable)
JR.
SR.
Email Address
*
How did you hear about us?
Is there a C0-Borrower?
Yes
NO
Do You Currently Own Real Estate
Yes
No
How Many Properties Do You Own
Social Security Number
*
Evening Phone
Years in School
MARITAL STATUS:
Married
Un-Married (Includes single, divorce or widowed)
Separated
Number of Denpendents
MORTGAGE AND LOAN INFORMATION:
Mortgage Applied For
Conventional
VA(Veteran’s Administration)
FHA(Federal Housing Administration)
FmHA(Farmers House Administration)
Loan Amount
$
*
(if unsure-enter estimated amount)
Interest Rate
$
%
*
(if unsure-enter estimated rate)
Loan Term in Months
$
*
(ex: 30 years = 360)
Amortization Type:
Fixed Rate
ARM (Adjustable Rate)
GPM (Graduated Payment)
Other Loan Payment Type
*
Mortgage Will Be
First
Second
Other
Present Address
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Country
Do You
Rent
Own
How Long At Address
Years
Months
Mailing Address If different from present address
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Country
Do You
Rent
Own
How Long At Address
Years
Months
Complete the following If at present address less than 2 years
Former Address 1
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Country
Do You
Rent
Own
How Long At Address
Years
Months
Former Address 2
Street
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Country
Do You
Rent
Own
How Long At Address
Years
Months
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