REFINANCE
PURCHASE
CREDIT
PROBLEMS
LOAN
APPLICATION
LOAN APPLICATION
Purpose of Loan
Purchase
Refinance
Construction
Length of Loan
30 yr
20 yr
15 yr
10 yr
First Name
Last Name
email
Street Address
City
State
Zip Code
Day Phone
Evening Phone
How soon do you need this loan?
Immediately
30 Days
60 Days
Property type
Single Family Home
Condominium
Townhouse
PUD
Multi-Family Unit
Occupancy
Owner-Occupied
Second Home
Investment Property
Loan amount desired
$
Estimated property value
$
Credit Rating
Excellent
Good
Fair
Poor
Amount owed on current mortgage
$
Current Interest Rate
%
Fixed or Variable rate?
Fixed
Variable
Gross Monthly Income
$
How many years have you been with your current employer
years
Co-applicant name
Co-applicant's Gross Monthly Income
$
If you are refinancing:
How many years have you had this loan?
years
Current Monthly Payment
$
Have you been late on your mortgage?
Yes
No
If you are purchasing:
Down payment amount available
$
Primary Source of Down Payment
Bank Account
Gift
Retirement Account
Investments
Other
Additional Comments:
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