Financing type: Home purchase New Construction
Credit Rating: Select Excellent Good Average Poor
Desired program: 30 Year Fixed 15 Year Adjustable
Borrower's name:
Co-borrower's name:
Home phone number:
Work phone number:
Fax number:
E-mail:
Best time to contact: Morning Afternoon Evening Other
Address:
City:
State: Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ------ American Samoa Guam Marshall Islands Micronesia Northern Marianas Palau Puerto Rico Trust Territories Virgin Islands Armed Forces(AA) Armed Forces(AE) Armed Forces(AP)
Zip code:
Borrower's employment status: W-2 1099 Self-Employed Other
Co-borrower's employment status: W-2 1099 Self-Employed Other
(B) How long with current employer:
(CB) How long with current employer:
(B) Yearly GROSS income:
(CB) Yearly GROSS income:
Any other source of
documented income:
Total monthly expenses:
Do you have a 2nd mortgage/home equity
loan or line of credit    Yes    No
In the last 24 months, have you had any
late payments on mortgage: None 1 2 3 or more
Cash reserves available to you
(includes 401K and retirement): None $2,000 or less $2,000 - $5,000 $5,000 or more
Taxes and insurance per month:
Estimated value of property
Current interest rate
Balance
To PURCHASE, how much would you have
for a down payment/closing costs:
How much do you want to prequalify for:
Your message: