MORTGAGE LOAN APPLICATION

General Section

Contact Information
Name:
Home Phone:
Work Phone:
E-mail:
Best time to be reached:

Property Location
City:
State:

Personal Information
Annual Household Income is $

My Credit History Is
Excellent
Good, But Some Lates
Some Credit Problems
Major Credit Problems
Don't Know

Loan Amount
Loan amount desired is $

Type of Loan
30 yr fixed
15 yr fixed
30/5 yr fixed
30/7 yr fixed
Adjustable
Haven't decided
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 between % and % down