|
Borrower Information |
Your
FULL Name (First, MI, Last)
(Required) |
Social Security #
|
Email
address
(Required)
|
Address
(Required)
|
City
(Required)
|
State
Zip
(Required) |
|
Primary Contact Phone
(Required)
Alt Phone
Work Phone
|
Date of Birth (format
mo/da/year)
|
Drivers License #
|
State Issued
(format MN, WI) |
Borrower Credit history
is
|
Ever File
Bankruptcy?
|
How long discharged?
Years or
Not yet |
Age
|
Marital
Status
|
Years of
Schooling
|
How long have you lived
here
years
months |
Do you
currently
|
Any
dependents
# Ages |
Former Address
(if at current less than 2 years)
|
Former City
|
Former
State Former Zip |
How long did you live
there
years months |
Did you
Own
|
Are you a Vet?
|
| |
|
Borrower Employment |
Current
Employer
|
Time with Current
Employer
Years
Months |
How long in this line of
work? Years |
Employers Address
|
City
|
State
Zip
|
Are you
self employed?
|
Position with Company
|
Gross Monthly Income
|
Former Employer
(if less than 2
years with current employer) |
Former Employer
|
From
when to when
mo /yr until
mo /
yr |
Old
Monthly Income
|
Former
Employers Address
|
City
State Zip |
Former
Position
|
| |
|
Co-Borrower
Information |
FULL Name (First, MI,
Last)
|
Social
Security #
|
Email address
|
Address
|
City
|
State
Zip
|
|
Primary Contact Phone
Alt
Phone
Work
Phone
|
Date of Birth (format
mo/da/year)
|
Drivers
License #
|
State Issued
(format MN, WI, FL) |
Co Borrower Credit
history is
|
Ever File
Bankruptcy?
|
How long discharged?
Years or
Not
yet |
Age
|
Marital
Status
|
Years of
Schooling
|
How long have you lived
here
years months |
Do you
currently
|
Any
dependents (not listed with
borrower)
# Ages |
Former Address (if at
current less than 2 years)
|
Former City
|
Former State
Former Zip
|
How long did you live
there
years months |
Did you
formerly
|
Are you a Vet?
|
| |
|
Co Borrower
Employment |
Current Employer
|
Time
with Current Employer
Years
Months |
How long in
this line of work?
Years |
Employers Address
|
City
|
State
Zip
|
Are you self employed?
|
Position
with Company
|
Gross
Monthly Income
|
|
Former Employer (if less than 2 years with
current employer) |
Former Employer
|
From
when to when?
mo /yr
until mo / yr |
Old
Monthly Income
|
Former
Employers Address
|
City
State Zip |
Former
Position
|
| |
Contacting
You
We usually attempt to contact you
between 10:00 AM & 6:00 PM Monday -
Friday.
If we are unable to contact you during this
time frame, it could delay your application. |
|
Daytime
Contact |
|
|
|
2nd
Best time to call YOU |
|
|
| |
|
Mortgage
Information |
Purpose of loan (Refi, Purchase)
|
Type of
Loan (Fixed, ARM, FHA, Etc)
|
|
Loan Amount Requested
$
|
Property will be our
|
|
I
applying today for
|
Estimated
Closing Time
|
|
| |
|
Purchasing a
home? Answer these additional questions:
(skip if refinancing) |
What is the Purchase Price?
(estimate
if pre-approval) |
Down Payment %
|
Amount
of Down Payment
|
Source of Down Payment:
|
Are you working with a
Realtor?
|
Property
Taxes on New Home?
$
(if known) |
| |
|
Refinancing? Answer the following
additional questions:
(skip if purchasing) |
There
will be closing costs on your refinance, how
would you like to pay those?
|
Your Current Monthly Payment
is:
|
Does this include escrows?
YES NO |
Your
Current Rate?
% (if known) |
Do you want to escrow for
taxes & insurance on the new loan?
Yes |No
|
Current Mortgage Company?
|
Annual
Property Taxes
$(if known)
|
Annual Homeowners Insurance
$(if known) |
What year did you buy this
property?
|
What
was the original cost?
$ |
Estimated Remaining Balance
$ |
Today's Estimated Value
$ |
Do
you have a Second Mortgage or line of credit
on the Subject Property?
Yes No |
If yes, what is the
outstanding balance?
$ |
2nd Mtg Monthly Pmt
$ |
2nd
Mortgage Company Name?
|
Do you want to keep or
consolidate 2nd mortgage?
Keep Consolidate |
|
| |
|
Subject Property
Information:
The Home you are buying or
refinancing |
Same
as mailing address?
Yes
If YES, skip
remaining section |
Unknown at this time
Yes
If YES, skip
remaining section |
Property is
|
Property
Street Address:
|
City:
State |
Zip
We lend in MN, WI only
|
| |
|
CURRENT MONTHLY
INCOME: |
Gross Monthly Income
|
Borrower |
Co-Borrower |
Base Income $
|
|
|
Overtime
|
|
|
Bonuses
|
|
|
Commissions
|
|
|
Dividends/Interest
|
|
|
Net Rental Income
|
|
|
Other
|
|
|
| |
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CURRENT
HOUSING COSTS |
Combined
Monthly Housing Expense
|
Present $ |
Rent
|
|
First
Mortgage Payment(P/I)
|
|
Second
Mortgage Payment(P/I)
|
|
Hazard
Insurance
|
|
Real
Estate Taxes
|
|
Real
Estate Taxes
|
|
Mortgage
Insurance
|
|
Homeowner
Assn. Dues
|
|
Other
|
|
| |
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YOUR ASSETS (includes checking,
savings, stocks, mutual funds, property,
etc.) |
| |
Name of Company |
Cash Value |
Checking/Savings Account
|
|
|
Checking/Savings Account
|
|
|
Checking/Savings Account
|
|
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Checking/Savings Account
|
|
|
Stocks and Bonds
|
|
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401(k)
|
|
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Life Insurance
|
|
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Real Estate owned
(Enter Market Value)
|
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Vested Interest in Retirement
Fund
|
|
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Net Worth of Businesses Owned
|
|
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Other Assets
|
|
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Automobiles Owned 1
|
Yr/Make |
Est Value |
Automobiles Owned 2
|
Yr/Make |
Est Value |
| |
|
LIABILITIES
Who do you owe? |
|
List
Company Name |
Monthly
Payment |
Months
Left |
Unpaid Balance |
|
Current 1st Mortgage Co
or Landlord Name
|
$ |
|
$ |
|
Current
2nd Mortgage Co |
$ |
|
$ |
|
Alimony/Child Support |
$ |
|
|
All
other debts (car loans, credit cards, student loans,
etc)
|
List only minimum monthly
payments
$ |
|
$ |
| |
|
OTHER
PROPERTIES: |
|
Do you currently own any
other property than the one you are living
in? |
No Yes |
If
"Yes" - What is it worth?
|
$ |
How much
do you owe on it?
|
$ |
What is
the payment?
|
$ |
Address
|
City
|
State
|
Zip
|
| |
|
DECLARATIONS: |
|
If you answer yes to
any questions (A) through (L), please
use the following text box to
describe |
|
Borrower
|
Co-Borrower
|
|
a. Are there any
outstanding judgments against you? |
|
|
|
b. Have you been
declared bankrupt within the past 7
years? |
|
|
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c. Have you
had property foreclosed upon or given
title or deed in lieu thereof in the
last 7 years? |
|
|
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d. Are you a
party to a lawsuit? |
|
|
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e. Have you
directly or indirectly been obliged
on any loan which resulted in
foreclosure, transfer of title in
lieu of foreclosure or judgment? |
|
|
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f. Are you
presently delinquent or in default on
any Federal debt or any other loan,
mortgage, financial obligation, bond,
or loan guarantee? |
|
|
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g. Are you
obligated to pay alimony, child
support, or separate maintenance? |
|
|
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h. Is any part
of the down payment borrowed? |
|
|
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i. Are you a
co-maker or endorser on a note? |
|
|
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j. Are you a
U.S. citizen? |
|
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k. Are you a
permanent resident alien? |
|
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l. Do you
intend to occupy the property as your
primary residence? |
|
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m. Have you
had an ownership interest in a
property in the last three years? |
|
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(1.) What type
of property did you own Principle
residence (PR), second home (SH), or
investment property (IP)? |
|
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|
(2.) How did
you hold title to the home - solely
by yourself (S), jointly with your
spouse (SP), or jointly with another
person (O)? |
|
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INFORMATION FOR
GOVERNMENT MONITORING PURPOSES: |
|
|
BORROWER: |
Co BORROWER: |
| |
I do not wish to answer |
I do not wish to answer |
|
Race |
|
|
Ethnicity:
|
Hispanic or Latino
NOT Hispanic
or Latino |
Hispanic or
Latino
NOT
Hispanic or Latino |
|
Gender |
|
|
| |
Other
Information:
Please write
in any other information you feel is
important to us making our decision, or
answers to any YES questions in the
declarations section.
|
| |
How did you find
out about this web site?
This
help's keep our advertising dollar effective,
therefore reducing YOUR closing costs!
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