First Home Finance Corporation

MORTGAGE LOAN APPLICATION

General Section
Contact Information
Name	:
Home Phone	:
Work Phone	:
E-mail	:
Best time to be reached	:
Propert Location
City	:
State	:
Personal Information
Annual Household Income is $	:
My Credit History Is	:	Excellent
		Good, But Some payments late in 200_
		Some Credit Problems as collections in 200_
		Major Credit Problems as judgment bankruptcy or foreclosure
		Don't Know

Loan Amount
Loan amount desired is $
Type of Loan	:	30 yr fixed
		15 yr fixed
		Adjustable
		Commercial
		I do not know
		Other , Please State


Second Mortage Section
Type of loan	:	Credit Line
		Fixed 2nd Mortgage
		Other, Please State
Existing loans on property
First Loan $
Second Loan $
Do any of the loans have negative amortization?
	:	Yes
		No
		Don't Know
Reason for loan	:	Home Improvement
		Pay Off Bills
		Other, Please Specify