Complete this application for pre-approval on a mortgage loan.

If you are unable to complete this transmission, send an e-mail to the Web Admin.

Instructions:

  1. Use this form to request mortgage information. Complete as much of this form as possible.
  2. Primary borrower should be highest income earner.
  3. You must own a home or desire to purchase one to qualify for these loans.
  4. When finished, click  the Submit Form button.

Required fields are in blue.

Loan Values must be at least $100,000 or more.
We can do loans higher then 3 million in most cases.

Please provide the following contact information:

How did you find this web site?

 

General Information
Primary Borrower Co-Borrower (if different )
First Name :
Last Name:
Address:  
City, State, Zip:  
Estimated Present Value Home: $,000  
Date Purchased  
Type of Property:  
Home Phone (include Area Code)
E-mail Address  
Fax Phone (incl. area code):

 
Are you self-employed?:
Current Employer:
Your Job Title:
Work Phone (incl. area code):
Time on present job: years years

Income W2 Employee Gross


 
Current Gross Income:
Self-employed Net Income  
Social Security
Marital Status:
Rate your credit 1 to 10:      (10 Being Best Score)    (10 Being Best Score)

Loan Information

Amount Requested:

$

Type of Loan:
Current Mortgage Balances
Current First Mortgage Amount: $,000
Monthly Payments: $
Are taxes and insurance impounded?
Note Type:
Current first mortgage rate: %
Current second mortgage amount: $,000
Current second mortgage rate: %

Please wait a moment for the application to process, after Submitting Form.

    

 

 

If you have any question or concerns about this Web Page.
The please contact the Web Master.

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This Web Page was created by
Omega Magnus Internet Design Team (Omega Magnus Corp.)
Copyright © 1997 [Omega Magnus Corp.]. All rights reserved.
Revised: March 31, 1999.