[Your Mortgage Company] Loan Application

Let [Your Mortgage Company] quickly process your mortgage application with our secure online form. Please answer all questions as completely as possible - accurate & complete information will help us in quick processing.

We respect your privacy. This is a confidential request and your personal information will only be used by [Your Mortgage Company].

Complete the form then click the submit button below.

 

1. Loan Preferences

Loan Purpose

Select mortgage product:

What amount do you wish to borrow?   $

What is the purchase price of home or approximate appraised value for a refinance?
$

If purchasing a new home, when is the closing date?   

 

2. Credit

Rate your credit:   

Have you filed a bankruptcy?   

 

3. Assets & Liabilities

If purchasing a new home, what is the source of your downpayment?

Assets

Approximate total liquid assets:   $

Total gift funds you will be receiving (if applicable):   $

Total proceeds from sale of home (if applicable):   $

Liabilities

Minimum monthly credit card payment:   $

Monthly installment debts (car loans, student loans, personal loans):
                                                          Car Loan(s):   $
  Student Loan(s):   $
  Personal Loan(s):   $
  Other Loan(s):   $
  Total Debt:   $

Balance of current mortgage (primary residence):   $

Current mortgage payment:   $

Alimony/Child Support/Maintenance:   $


4. Employment & Income
   
Borrower Co-Borrower
   
Are you willing to document your income? Are you willing to document your income?
   
Employer's name: Employer's name:
   
Yearly income: Yearly income:
   
Length of current employment: Length of current employment:
years years
   
Self employed: Self employed:
   
Other income: Other income:
$ $
   

5. Property

Where is the subject property located (if known):

Street address:   

City:   

State:   

Zip:   -

Property type:   

Occupancy:   

 

6. Borrower Information
     
First name: Middle initial: Last name:
Social Security #:    - -
 
Date of Birth:   / /
 
Email address:   
 
Street address:   
 
City:   
 
State:   
 
Zip:    -
 
Do you rent or own your current residence?   
 
Home phone (with area code):  ( )  -
 
Business phone (with area code):  ( )  -
 
Marital status:   
 
 
Co-Borrower Information
     
First name: Middle initial: Last name:
 
Social Security #:    - -
 
Date of Birth:   / /
 
Email address:   
 
Street address:   
 
City:   
 
State:   
 
Zip:    -
 
Do you rent or own your current residence?   
 
Home phone (with area code):  ( )  -
 
Business phone (with area code):  ( )  -
 
Marital status:   
 

7. Comments

Questions and comments:

 

 

I authorize [Your Mortgage Company] to verify credit and employment history?  

          

Submit loan application for processing only after answering as many questions as possible.
If you cannot answer all questions, submit form and call us for assistance @ 888-555-1234

You are not obligated to accept this loan even if your application is approved.