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:



Refinance Section

Property Value
The property should appraise for $
Don't know

Existing Loans On Property
1st loan balance $
2nd loan balance $
3rd loan balance $

Reason for Refinancing
Reduce Interest rates
Change from fixed to adjustable
Change from adjustable to fixed
Need cash out. Cash out required $
Other, Please Specify:

Current loan type
Fixed
Adjustable
Other, Please Specify: