Wednesday, August 21st, 2019

Short Application

Get started right away and complete the application below entering as much information as possible. Fields marked with an asteric* are required to submit. Once we receive your completed application, a loan officer will contact you.

Personal Information

*First Name
*Middle Initial
*Last Name
*Email
Home Phone
(xxx-xxx-xxxx)
Cell Phone
(xxx-xxx-xxxx)
Work Phone
(xxx-xxx-xxxx)
Marital Status
Are you a U.S. citizen?
Date of Birth
(mm/dd/yyyy)
*Social Security or Tax ID#
Number of Dependents
Dependents Age(s)
seperate by comma.

Current Address

Street Address
City
State
Zip
Years at this Address
Rent or Own

Select Loan Officer

*Loan Officer

Subject Property

Purpose of Loan
Property Usage
Loan Amount $
Purchase Price $
Number of Units
Year Built
Subject Property Address
Subject Property City
Subject Property State
Subject Property ZIP

Monthly Income

Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
Name of Employer
Base Income $
Bonuses $
Commission $
Other Income $

Assets

Checking $
Savings $
Retirement Funds $
Mutual Funds $
Other $

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.
Option I do not wish to furnish this information
Sex MaleFemale
Ethnicity Hispanic or LatinoNot Hispanic or Latino
Race American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
* Privacy Policy
We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency.

We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law.

I accept the terms of the privacy policy.

Co-Borrower

If you have a co-borrower, select yes and complete the section below. If no co-borrower, then select No, scroll to the bottom of the page and Submit.
Co-Borrower YesNo

Co-Borrower Personal Information

*First Name
*Middle Initial
*Last Name
*Email
Home Phone
(xxx-xxx-xxxx)
Cell Phone
(xxx-xxx-xxxx)
Work Phone
(xxx-xxx-xxxx)
Marital Status
Are you a U.S. citizen?
Date of Birth
(mm/dd/yyyy)
*Social Security or Tax ID#
Number of Dependents
Dependents Age(s)
seperate by comma.

Co-Borrower Current Address

Street Address
City
State
Zip
Years at this Address
Rent or Own

Co-Borrower Monthly Income

Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
Name of Employer
Base Income $
Bonuses $
Commission $
Other Income $

Co-Borrower Assets

Checking $
Savings $
Retirement Funds $
Mutual Funds $
Other $

Co-Borrower Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.
Option I do not wish to furnish this information
Sex MaleFemale
Ethnicity Hispanic or LatinoNot Hispanic or Latino
Race American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
* Privacy Policy
We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency.

We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law.

I accept the terms of the privacy policy.