What kind of loan are you interested in?

Conventional 2nd Mortgage FHA/VA Jumbo Construction Loan Line of Credit Home Equity Loan (Other) Other (please specify):

lease provide us your current address information:

Name

Current Address
City
State
Zip code

Social Security #

 

Please tell us about your employment:

Employer
Position
Length of Employment (years)
Monthly Gross Income:	(whole numbers please)
Base Income
Overtime
Bonus
Additional
Are you self- employed?	No Yes

Please tell us about your monthly obligations (whole numbers please):

Car Payment
Installments
Credit Card 1
Credit Card 2
Credit Card 3
Credit Card 4
Student Loans
Alimony
Have you ever owned real estate?	No Yes
Have you ever had a bankruptcy / foreclosure?	No Yes
Are you a veteran?	No Yes
How much do you have for a down payment?
What is the source of funds for the down payment?
Is there a co-borrower?	No Yes

Please enter any additional information you may think is pertinent to this application, in the space provided below:

Tell us how to get in touch with you:

Name
E-mail
Tel
FAX

Please contact me as soon as possible regarding this application.