ONLINE LOAN APPLICATION

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For properties owned:

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Online Loan Application

Type of Mortgage and Term of Loan

Loan type applying for:      Conventional  FHA   VA

Purpose of loan:      Purchase  Refinance   Construction   Cash Out   Home Equity   Other

Property Information

Property will be used as:   Primary Residence   Secondary Residence   Investment

Borrower Details

Do you own the house?      Yes  No

Is there a Co-Borrower?     Yes    No

Borrower Employment Details

Self-employed?     Yes    No

Income Information

Borrower
Base Employment Income:
Overtime:
Bonus:
Commission Income:
Dividends / Interest:
Net Rental Income:
Total Income:

Credit Information

Borrower
Are there any judgements against you?
Yes   No
Have you been declared bankrupt within the past 7 years?
Yes   No
Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years?
Yes   No
Are you a party to a lawsuit?
Yes   No
Are you obligated to pay alimony, child support, or separate maintenance?
Yes   No
Is any part of the down payment borrowed?
Yes   No
Are you a co-maker or endorser on a note?
Yes   No
Are you a U.S. citizen?
Yes   No
Are you a permanent resident alien?
Yes   No
Do you intend to occupy the property as your primary residence?
Yes   No
If "Yes," have you had an ownership interest in a property in the last 3 years?
Yes   No
(1) What type of property did you own-principal residence PR), second home (SH), or investment property (IP)?
(2) How did you hold title to the home-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Social Security Number
Have you directly or indirectly been obligated on any loan, which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
Yes   No

This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgages, financial obligation, bond, or loan guarantee. If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box below.

Are you presently delinquent of in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?
Yes   No
If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box.

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