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Short Application
Our short application is an easy and fast way to request a mortgage. Please provide the following information.
Personal Information
First Name
Last Name
Email
Referral Name
Home Phone
Cell Phone
Work Phone
Marital Status
Are you a U.S. citizen
Select
Yes
No
Date of Birth
Social Security or Tax ID #
Number of Dependents:
Dependent Age(s):
Loan Officer
Current Address
Street Address
City
State
Zip
Years at this Address:
Rent or Own:
Select
Rent
Own
Subject Property
Purpose of Loan
Select
Purchase
Refinance
Property Usage
Select
Primary Residence
Investment
Second Home
Loan Amount
Purchase Price
Number of Units
Year Built
Subject Property Address:
City
State
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.
Base Income
Bonuses
Commission
Other Income
Assets
Checking
Savings
Retirement Savings
Mutual Savings
Other
Demographic Information pose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for \\\\\\\"ethnicity\\\\\\\" and one or more designations for \\\\\\\"Race.\\\\\\\" The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Ethnicity - Check one or more:
*
Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino - Enter origin:
Not Hispanic or Latino
I do not wish to provide this information
Race - Check one or more
*
American Indian or Alaska Native
Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
White
I do not wish to provide this information
Sex
*
Male
Female
I do not wish to provide this information
* 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
Do you have a co-borrower?
*
Yes
No
Co-Borrower Personal Information
First Name
Last Name
Email
Home Phone
Cell Phone
Work Phone
Marital Status
Are you a U.S. citizen?
Date of Birth:
Social Security or Tax ID #
Number of Dependents:
Dependent Age(s):
Co-Borrower Current Address
Copy From Borrower
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.
Base Income
Bonuses
Commission
Other Income
Co-Borrower Assets
Checking
Savings
Retirement Funds
Mutual Funds
Co-Borrower Demographic Information
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for \"ethnicity\" and one or more designations for \"Race.\" The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Ethnicity - Check one or more
*
Hispanic or Latino
Mexican
Puerto Rican
Cuban
Other Hispanic or Latino
Not Hispanic or Latino
I do not wish to provide this information
Race - Check one or more
*
American Indian or Alaska Native
Asian
Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Other Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander
White
I do not wish to provide this information
Sex
*
Male
Female
I do not wish to provide this information
Other
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