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Loan Application
The information that you provide will be used to process your loan. Please fill in each section as accurately as possible, this will ensure a quick application process.
Property Information
Subject Property Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Number of Units
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Purpose of Loan (*)
Purchase
Refinance
Construction
Construction Permanent
Other
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Property will be: (*)
Primary Residence
Secondary Residence
Investment
Other
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Year Acquired
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Original Cost
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Enter the original cost without dollar sign or commas.
Amount of Existing Liens
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Enter the total dollar amount. ex. 210000
Borrower Information
Borrowers Full Name: (*)
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Enter borrowers full name include Jr. or Sr. if applicable.
Home Phone Number (*)
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Your email address (*)
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Date of Birth (*)
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Enter date of birth in the following order - Month/Date/Year (ex. 05/15/1974)
Marital Status (*)
Married (includes registered domestic partners)
Unmarried (includes single, divorced, widowed)
Separated
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Current Address
Current Street Address (*)
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City (*)
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State (*)
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MS
MO
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NE
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OK
OR
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UT
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Zip (*)
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Rent or Own (*)
Rent
Own
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Time residing at current address (*)
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Borrower Employment Information
Employment Status
Employed
Self Employed
Retired
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Name of Employer (*)
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Employers Address
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City
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MO
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NE
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NM
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OK
OR
PA
PR
RI
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TN
TX
UT
VT
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WA
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Zip
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Years on this job
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Years employed in this line of work/profession.
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Co-Borrower Information
Co-Borrower Name
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Enter co-borrowers full name include Jr. or Sr. if applicable.
Co-Borrowers Phone #
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Co-Borrowers Date of Birth
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Enter date of birth in the following order - Month/Date/Year (ex. 05/15/1974)
Co-Borrowers Marital Status
Married (includes registered domestic partners)
Unmarried (includes single, divorced, widowed)
Separated
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Co-Borrowers Current Address
Current Street Address
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City
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State
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AZ
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DE
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ME
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MA
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MS
MO
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NE
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NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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Zip Code
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Co-Borrower Employment Information
Employment Status
Employed
Self-Employed
Retired
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Name of Employer
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Employers Address
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City
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State
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AK
AZ
AR
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DE
DC
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GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
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Zip
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Years on this job
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Years employed in this lone of work/profession.
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Monthly Income
Borrowers Income
Borrowers Base Income
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Overtime
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Bonuses
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Commissions
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Dividends/Interest
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Net Rental Income
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Other Income
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Co-Borrower's Income
Co-Borrower Base Income
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Overtime
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Bonuses
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Commissions
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Dividends/Interest
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Net Rental Income
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Other Income
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Monthly Housing Expenses
Monthly Rent
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First Mortgage (P&I)
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Other Financing (P&I)
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Hazzard Insurance
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Real Estate Taxes
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Mortgage Insurance
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Homeowner Association Dues
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Other Expenses
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Security
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Rates
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