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Loan Application Form
Items marked are required!
Property/Loan Information
 Loan Type: 
 Property Type: 
 Do you need extra money to pay off debt, other than your mortgage(s) or Cash out?
 Amount of Cash Out? 
 Desired Loan Amount: ($).00
(example 135000)
 Approximate Property Value: ($).00
(example 135000)
 Property Location State: 
 Are You Currently a Property Owner? 
 Property Purpose: 
Required for New Home Purchase Only
 Purchase Time Frame:
 Estimated Down Payment: ($).00
(example 2600)
Contact Information
BorrowerCo-Borrower
  First Name: 
  Last Name: 
  Home Phone: --
Work Phone: -- Ext. 
Mobile Phone: --
  Email: 
Address: 
City: 
  State: 
  Zip: 
Best Time To Contact: 
Best Place to Contact: 
First Name: 
Last Name: 
Home Phone: --
Work Phone: -- Ext. 
Mobile Phone: --
Email: 
Current Loan Details
Required for Refinance Only
First MortgageSecond Mortgage
 Balance: ($).00
(example 135000)
 Balance: ($).00
(example 135000)
 Rate: (%) (example 2.65)
 Rate: (%) (example 2.65)
 Type
 Type
 Monthly Payment: ($).00
(example 2600)
 Monthly Payment: ($).00
(example 2600)
Employment Information
BorrowerCo-Borrower
  Employed: 
  Employed: 
 Years at Current Employer
 Years at Current Employer
  Self Employed: 
  Self Employed: 
 Monthly Income? ($)
(Gross before taxes)
.00
(example 2600)
 Monthly Income? ($)
(Gross before taxes)
.00
(example 2600)
 Credit History? 
 Credit History? 
 Monthly Expenses? ($).00
(example 2600)
 Monthly Expenses? ($).00
(example 2600)
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