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Loan Application
Click here to download a printable Uniform Residential Loan Application
**To ensure a smooth loan process, please be as complete as possible**
New Loan Information
Purpose of loan: Purchase Refinance Cashout Refinance
Estimated Property value or Contract Purchase Price: $

Total amount to be financed:

$
-For Refiance - include all loans/debts/cash out, etc. in loan amount
-For Purchase - purchase price minus down payment
Property will be: Primary Home 2nd Home Investment
Desired Loan Term/Other (15yr, 30yr, etc.)  
Interest Only feature? Yes   No
How would you rate your credit?
 
This Section Applies To Refinance Transactions Only
Existing Liens (current loans on subject property):
1st Lien Amount (To be paid off?) Yes   No 
2nd Lien Amount (To be paid off?) Yes   No 
 
Address of Property to be Refinanced or Purchased  
Street Address:
City:  
State:
Zip:
 
Primary Borrower Information
Please complete this section for the primary borrower:
First Name:
Middle Name:
Last Name:
Home phone number:
Work or cell number:
Email address:Required
Social security number:
Date of birth:  
Month:
Day:
Year:
  
Marital Status: Married Un-Married Separated
Is your address is the same as the subject property above?
Street Address:
City:  
State:
Zip:
Do you own or rent? Own Rent
How long at this address? years months
Borrower Gender: Male   Female
 
 Co-Borrower Information 
Please complete the this section for the co-borrower:
First Name:
Middle Name:
Last Name:
Home phone number:
Work or cell number:
Email address: 
Social security number:
Date of birth:  
Month:
Day:
Year:
  
 
Marital Status: Married Un-Married Separated
Is your address the same as the borrower's address?
Street Address:
City:  
State:
Zip:
Do you own or rent? Own Rent
How long at this address?  years months
CO-Borrower Gender:   Male   Female
 
 Borrower Employment Information 
Please List Borrower's Employment
Employer/Company Name:  
Street Address:  
City:    
State:  
Zip:  
Job Title/Position
Self employed?     Yes   No 
Time at this job years months
How long in this profession?   years
Borrower Income: Monthly
 
Co-Borrower Employment Information
Please List Co-Borrower's Employment
Employer/Company Name:  
Street Address:  
City:    
State:  
Zip:  
Job Title/Position
Self employed?     Yes   No
Time at this job years months
How long in this profession? years
Co-Borrower Income: Monthly
 
Housing Expenses
Present Housing Expenses
Rent:   $
First Mortgage (P&I):   $  
Second Mortgage (P&I): $  
Hazard Insurance:   $  
Real Estate Taxes:   $  
Homeowner Assn. Dues: $  
 
 Borrower Declarations 
Have you been declared bankrupt within the past 7 years? Yes   No
Have you ever entered into foreclosure at any time? Yes   No
Are you a U. S. citizen? Yes   No
Are you a permanent resident alien? Yes   No
 
 Co-borrower Declarations 
Have you been declared bankrupt within the past 7 years? Yes   No 
Have you ever entered into foreclosure at any time?  Yes   No
Are you a U. S. citizen?  Yes   No
Are you a permanent resident alien? Yes   No
 
Additional Information
Please enter any comments, questions or notes here:

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