Step 1 of 5 - Transaction Information 20% Would you like to Purchase or Refinance a home?*PurchaseRefinancePURCHASE INFORMATIONMax Purchase Price?*Example $300,000Amount of Down Payment ($)?*Example $10,000Where is the down payment?* Checking and/or Savings Account(s) Sale of your present home Gift Stock / Bonds Saving for it Tax Refund 401k Withdrawal and/or Loan Other Check all that applyName of your Realtor?*When do you plan to purchase?*Already found a home1 to 3 months4 to 6 months7 to 9 months10 to 12 monthsMore than a yearREFINANCE INFORMATIONHow much is your home currently worth?How much did you originally pay for this home?Year purchasedDo you currently have a second mortgage?YesNoPurpose of RefinanceLower Interest RateLower Monthly PaymentDebt ConsolidationChange Rate/TermHome ImprovementCash-out Is there a Co-Borrower?*YesNoBORROWER INFORMATIONName* First Last Social Security*Marrital Status*MarriedUnMarriedSeparatedPhone*Email* Enter Email Confirm Email BORROWER - PRESENT ADDRESSAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Own / Rent*OwnRentLiving Rent-FreeAre you selling this property prior to closing?YesNoConverting to rental propertyWhat is the current market value of this property?Please enter Years at this addressRent PaymentPresent Mortgage PaymentAbove Mortgage Payment includes taxes and insurance?YesNoBORROWER - PREVIOUS ADDRESS (if less than two years at current residence)Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Own / RentOwnRentLiving Rent-FreePlease enter Years at this addressCO-BORROWER INFORMATIONName First Last Social Security #Married StatusMarriedUnMarriedSeparatedPhoneEmail CO-BORROWER - PRESENT ADDRESSCo-borrower Present AddressSame as BorrowerDifferent than BorrowerAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Own / RentOwnRentLiving Rent-FreeYears at AddressRent AmountPresent Mortgage PaymentCO-BORROWER - PREVIOUS ADDRESS (if less than two years at current residence)Previous AddressSame as BorrowerDifferent than BorrowerAddress Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Own / RentOwnRentLiving Rent-FreeYears at Address BORROWER - EMPLOYMENT INFORMATIONAre you self-employed?YesNoEmployer NameEmployer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Click all that apply Hourly Salary Commission Bonus Gross Monthly Income (Before taxes)Position/TitleYears with this EmployerBORROWER - PREVIOUS EMPLOYER (If less than two years at present employer)Employer NameEmployer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position / TitleYears with this EmployerCO-BORROWER - EMPLOYMENT INFORMATIONAre you self-employed?YesNoEmployer NameEmployer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Click all that apply Hourly Salary Commission Bonus Gross Monthly Income (Before taxes)Position / TitleYears with this EmployerCO-BORROWER - PREVIOUS EMPLOYER (If less than two years at present employer)EmployerNameEmployer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Position / TitleYears with this Employer LOAN INFORMATIONDesired Loan Term*30-year25-year20-year15-year10-yearOccupancy Type*Primary ResidenceVacation HomeInvestment PropertyLoan Type:*ConventionalFHAVAUSDAJumboHelp me choose the best loanAmortization Type*Fixed rateAdjustable rate Check the Tax Returns currently filed:* 2017 2016 2015 Do you own any other Real Estate?*YesNoHave you declared any "Unreimbursed Employee Business Expense" on your tax returns in the last two years (IRS Form 2106)?*YesNoNot SureHave you had any ownership interest in a business in the last three years?*YesNoDo you Receive or Pay child support or alimony?*ReceivePayN/AI am a*US CitizenPermanent resident alienComments or Special Instructions**Please use your mouse or finger to sign the box (touch screen compatible) * By affixing my electronic signature, I grant that this information be used to pre-qualify me for a mortgage loan, including the right to obtain my credit report. I understand that the information will remain private and confidential. By submitting and signing this electronically, this application is to be deemed the equivalent of the original.Signature This iframe contains the logic required to handle Ajax powered Gravity Forms.
