Online Mortgage Application

Which consultant would you like to work with: No Preference Linda McCoy Jamie Frampton Brian Frampton Lisa May Sherrilyn Wilson

Borrower

First Name Last Name
Social Security No.
DOB Home Phone
Email address

Employer
Employer Address
Work Phone
Position Years
Gross Monthly Income $

Previous Job/Second Job
Address
Work Phone
Previous Position
Start Date End Date
Gross Monthly Income $

Years of Education
Number of Children Children's ages Marital Status Married Single Separated Divorced Widowed

Co-Borrower

First Name Last Name
Social Security No.
DOB Home Phone
Email address Employer
Employer Address
Work Phone
Position Years
Gross Monthly Income $

Previous Job/Second Job
Address
Work Phone
Previous Position
Start Date End Date
Gross Monthly Income $

Years of Education
Number of Children Children's ages Marital Status Married Single Separated Divorced Widowed

Address

Current Address
City State Zip Years Payment $/Month
Landlord or Mortgage Company
Year aquired Purchase Price Appraised Value $ Type of Residence


Previous Address
City State Zip Dates

Assets and Debts

Bank Name Account No. Balance $
Bank Name Account No. Balance $
Bank Name Account No. Balance $


What is your total monthly payments on consumer debt? (car, credit cards, loans, etc.) $/month

	Borrower	Co-Borrower
Are there any outstanding judgements Against you?	Yes No	Yes No
Have you declared Bankruptcy within the past 7 years?	Yes No	Yes No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?	Yes No	Yes No
Are you a party to a lawsuit?	Yes No	Yes No
Have you directly or indirectly been obligted on any loan with resulted in foreclosure, transfer of title in lieu of foreclosure or judgement? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, education loans, manufactured (mobile) home loans and mortgage financial obligation, bond or loan guaranetee. If "Yes" provide details including date, name and address of Lender, FHA or VA case number, if any and reason for the action).	Yes No	Yes No
Are you presently delequent or in default on any Federal debt or any loan, mortgage, financial obligation, bond, or loan guarantee? If "yes" give details as described in the preceeding question.	Yes No	Yes No
Are you obligated to pay alimony, child support or separation maintenance? If "yes" how much? and how long?	Yes No	Yes No
Is any part of the down payment borrowed?	Yes No	Yes No
Are you a co-maker or endorser on a note?	Yes No	Yes No
Are you a US Citizen?	Yes No	Yes No
Are you a permanent resident alien?	Yes No	Yes No
Do you intend to occupy the property as your primary residence?	Yes No	Yes No
Have you had ownership interest in a property in the last three years?	Yes No	Yes No
If "yes", what type of property did you own? Principal Residence (PR), Second Home (SH) or investment property (IP)?	PR SH IP	PR SH IP
If "yes, how did you hold title to the home? Solely by yourself (S), Jointly with your spouse (SP), or jointly with another person (O)?	S SP O	S SP O
Do you own any other property?	Yes No	Yes No
If yes, list address of the other property/properties:
Ethnicity/Race:	African American American Indian Hispanic/Latino Asian Pacific Islander White	African American American Indian Hispanic/Latino Asian Pacific Islander White
Male/Female	Male Female	Male Female

Property Address


Comments or explainations for above questions:

Is it ok to pull your credit? yes no

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Credit Card Name Credit Card No. Expiration Date