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


Purchase Section
Time Frame	:		Thinking about it
			Actively looking
			About to make an offer
			Have a sales contract
Realtor Information	:		I am working with a Realtor
			Please refer me to a Realtor
			I am buying directly from the seller
			I am buying directly from the builder
Purchase Price
I expect to buy a home between	:
and
Down Payment
I expect to put down between	:
and
Timing
I expect to buy a home in the next	:	months
in city/town of
in the state of