The Loan Process - Application Form
Loan Requested
Loan Type:
Loan(s) to be Financed:
Application Date:
Applicant ID:
Tracking #:

Personal Information
Applicant Name:
Co-Applicant Name:
Address:
City:
State:
Zip:
Work #:
Home #:
Timeline: Days
Email Address:

Borrower Information Co-Borrower Information
Social Security#: Social Security#:
Annual Income: $ Annual Income: $
Monthly Income: $ Monthly Income: $
Monthly Obligations: $ Monthly Obligations: $
Debt Ratio: % Debt Ratio: %
Credit Rating: Credit Rating:
Bankruptcy/Foreclosure:

Property Information
Date of Purchase:
Property Price: $
Property Type:
Current Approximate Value: $
Property Use:
Property County:
Property State:
Property Zip:

Loan Information
First Mortgage Balance: $
Current Interest Rate: %
First Mortgage Monthly Payment: $
Addl. Mortgage Balance: $
Addl. Mortgage Monthly Payment: $
Mortgage Type:
Addl. Cash Out: $
Loan Amount: $
Loan to Value Ratio: %
Current Loan Rate: %