Is this your first... HOME PURCHASE?
REFI?
Yes
No
Have you... APPLIED TO ANY
OTHER LENDER
for this loan? Yes
No
If purchasing, DO YOU
HAVE THE
DOWNPAYMENT
SAVED UP?
Yes
No
Is this loan for.... REFINANCING
your EXISTING MORTGAGE?
Yes
No
What is the MARKET VALUE
OF THE PROPERTY?
$
HOW BIG OF A LOAN
do your need?
$
BORROWER........First
Name, Middle Initial, and Last Name:
What is your
DATE OF BIRTH
(enter MM/DD/YY)?
SOCIAL SECURITY NUMBER
(for no cost credit report
e.g., 123-45-6789)?
What is your E-MAIL ADDRESS?
Will someone else be a
CO-Borrower with you?
Yes
No
( if you answered YES then
complete this CoBorrower Section also.... )
CO-BORROWER.....First
Name, Middle Initial, and Last Name:
What is Co-Borrower's
DATE OF BIRTH
(enter MM/DD/YY)?
SOCIAL SECURITY NUMBER
(for no cost credit report
e.g., 123-45-6789)?
Fill in YOUR street, city,
state and zip code here:
Select your occupancy status:
MUST complete this box
Renter now, want to buy!
This loan is for a rental
property
This loan is for new
construction
This loan is for debt
consolidation I want to REFI my
home loan
Other
What is your Home PHONE
NUMBER (including area code)
example 909-555-1212:
What is your Work PHONE
NUMBER (including area code)
example 909-555-1212:
The best time to contact me is:
6pm-8pm weeknights
3pm-6pm weekdays
8am-3pm weekdays
Saturday Mornings
at my work number
Control Number
Borrowers' Certification .........BY
PRESSING THE FOLLOWING BUTTON ....,
I am submitting a preliminary loan application for a
mortgage loan from a lender to be named. In applying
for this loan, I/We are completing this preliminary
loan application and am providing various information
for the purpose of the loan, the amount and source of
down payment, employment, income information, assets
and liabilities. I/We certify that all of the
information is true and complete. I/We have made no
misrepresentations in the preliminary application or
other documents, nor did I/We omit any pertinent
information. I authorize you, and any investor to whom
you may sell my/our mortgage, any and all information
and documentation that they request.. such information
includes, but is not limited to, employment history,
income, bank, money market, and similar account
balances, credit history, and copies of income tax
returns (should they be requested).