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Full Application

For those individuals that are serious about purchasing a home or refinancing an existing mortgage and are ready to start the process, this full application will give us a better idea of your situation.  Completing this form in its entirety will give us the best chance to help you find the most complete loan that is right for your needs.

GENERAL INFORMATION:

Your name (required)

Your email (required)

Your phone number (required)

Your current address

Best time to contact

Type of loan you are interested in (click all that apply)
 Pre-qualify Purchase Refinance Line of Credit Debt Consolidation 2nd Mortgage Cash out Refinance

PURCHASE INFORMATION:

Are you a first time home buyer?  Yes No

How much would you like to put down (ie. 10% or 3.5%)?

Have you found a home?  Yes No

Address of purchase (if known)

State of purchase

Purchase price if known

Behind on any payments (30 days behind or more)?  Yes No

How would you rate your credit

Have you ever filed for bankruptcy?  Yes No

If you have filed for bankruptcy, has it been two or more years since it was discharged?  Yes No

Are you a Veteran?  Yes No

REFINANCE INFORMATION:

Do you own a home?  Yes No

Type of home owned?

What state does your home reside in?

Current estimated value

Purchase price

Current first mortgage balance

Current second mortgage balance (if applicable)

Current interest rate

Do you have a fixed or adjustable rate now

Monthly payment $

Behind on any payments (30 days behind or more)?  Yes No

How Would you rate your credit

Have you ever filed for bankruptcy?  Yes No

If you have filed for bankruptcy, has it been two or more years since it was discharged?  Yes No

What type of refinance are you looking for?  Rate and Term Streamline Cash Out Other

Would you like to escrow?  Yes No

Are you a Veteran?  Yes No

EMPLOYMENT INFORMATION:

Borrower:

Are you self employed?  Yes No

Current place of employment

How long have you been with your current employer?

Gross yearly income (before taxes)

Co-borrower (if applicable):

Are you self employed?  Yes No

Current place of employment

How long have you been with your current employer?

Gross yearly income (before taxes)

How did you hear of us?

Additional information you would like us to know

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