Loan Application

Information marked with an * is required to submit this form. The remainder can be completed during an in person meeting.



Loan Purpose*
Property Type*
Occupancy*
Type of Loan *

Borrower Information



Borrower's Name:*
Social Security Number
Contact Phone*
-
E-mail:*
DOB
 / 
 / 
Status
Years of Schooling
Number and ages of dependents
Present Address:*
# Years

 If residing at present address for less than two years, complete the following: 



Previous Address:
# Years
Co-Borrower's Name:
Social Security Number:
Contact Phone:
-
E-mail
DOB:
 / 
 / 
Status:
Years of Schooling:
Number and ages of dependents:
Present Address
# Years:




Previous Address
# Years

Employment Information



Borrower

Name and address of Employer*
*
Are you
Years at Job
Years in this line of work
Position/Title
Work Phone
-

 If working at present job for less than two years, complete the following: 



Name and address of Previous Employer
Were you
Dates
-
Position/Title
Monthly Income
Business Phone
-

Co-Borrower

Name and address of Employer:
Are they
Years at Job:
Years in this line of work:
Position/Title:
Work Phone:
-




Name and address of Previous Employer:
Were they
Dates:
-
Position/Title:
Monthly Income:
Business Phone:
-


Gross Monthly Income*
Assets & Down Payment Amount*

Borrower Authorization



I (We) hereby authorize the lender/broker to order a consumer credit report, verify my past and present employment earnings records, bank statements, stock holdings, and any other asset balances that are needed to process my mortgage loan application.  The information the lender/broker obtains is only to be used in the processing of my application for a mortgage loan.

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above authorization.*