Mortgage Application

Instructions:

I will be in touch with you shortly to discuss your financing options.

FILL THIS OUT IF PURCHASING A HOME

Please skip to the next section if refinancing.

Time Frame:	Thinking about it Actively Looking About to make an offer Have a sales contract
Real Estate Professional Information:	I am working with a Real Estate Professional Please refer me to a Real Estate Professional 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

FILL THIS OUT ONLY IF REFINANCING

Please skip to the next section if applying for a second mortgage.

FILL THIS OUT IF REQUESTING A SECOND MORTGAGE, CREDIT LINE, OR HOME IMPROVEMENT LOAN.

Type of Loan:

Credit line
Fixed 2nd mortgage
Other, please state...

Existing Loans on Property:

1st loan	$
2nd loan	$

Do any of the loans have negative amortization?
Yes
No
Don't know

Reason for Loan:

Home improvement
Pay off bills
Other, please specify...

Contact Information
Your Name:
Home Telephone:
Work Telephone:
E-mail Address:
Best Time to Reach Me:
Property Location
City:
State:
Loan Information
Loan Request:	Purchase Refinance Credit Line Home Improvement Other, please describe:
Loan Amount Desired:	$
Type of Loan Desired:	30 yr fixed 15 yr fixed 30/5 yr fixed 30/7 yr fixed Adjustable Haven't decided Other, please state:
Personal Information
Annual Household Income:	$
My Credit History:	Excellent Good, but some lates Some credit problems Major credit problems Don't know

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.Amount: $ Other, please specify...
Current Loan Type:	Fixed Adjustable Other, please specify...