I.Type of Mortgage and Terms of Loan
Amount:
Number of Months:
If new loan Amount: No. of Months:
If puchasing: New Address:
II.Property Information and Purpose of Loan
Property Address(street, city, state, zip)
Year Built
Purpose of Loan:
Complete this line if this is a refinance loan.
Year Acquired:
Original Cost.:
Amount Existing Liens:
Purpsose of Refinance:
Present Market Value:
III.Borrower Information
Borrower
Co-Borrower
Borrowers Name (include Jr. or Sr. If Applicable):
Co-Borrowers Name (include Jr. or Sr. If Applicable):
Work Phone(incl. area code):
Hm Phone(incl. area code:
D.O.B
Work Phone(incl. area code):
Hm Phone(incl. area code:
Age
D.O.B
IV.Employment Information
Borrower
Co-Borrower
Name and Address of Employer:
Dates (From-to):
Name and Address of Employer:
Dates (From-to):
Position/Title/Type of Business:
Position/Title/Type of Business:
Email Address:
Email Address:
If employed in current position for less than two years or if currently employed in more than one position, complete the following:
Name and Address of Employer
Dates (From-to):
Name and Address of Employer
Dates (From-to):
Position/Title/Type of Business:
Position/Title/Type of Business:
V.Monthly Income and combined Housing Expense Information.
V.Monthly Income and combined Housing Expense Information.
Gross Monthly Income:
Borrower:
Co-Borrower:
Combined Monthly Housing Expense:
Present:
Proposed:
Base Empl. Income:
Rent:
Overtime:
First Mortgage(P&I) :
Bonuses:
Other Financing(P&I):
Commissions:
Hazard Insurance :
Dividends/Interest:
Real Estate Taxes:
Net Rental Income:
Mortagage Insurance :
Other:
Homeowner Assn:
Other:
TOTAL(s):
TOTAL:
