Home Loan Application		Privacy and Security
Property Information:
What type of loan do you want?
What is the purpose of the loan?
The type of home that you have?
Is this your primary residence?
The loan amount requested?
Current value of your home?
Balance of the 1st mortgage?
1st mortgage monthly payment?
Payment include taxes & insurance?
Balance of the 2nd mortgage?
2nd mortgage monthly payment?
What was the original price?
Property address
City
State
Zip code
How long at this address?
Borrower Information:
First and last name
Email address
Home phone
Work phone
Are you married?
What is your age?
Your social security number?
Are you self employed?
What is your job title?
Employer's name and address?
How long with current employer?
How long in the same type of job?
Monthly income before taxes?
Amount and source of other income?
Previous bankruptcy? What year?
Previous foreclosure? What year?
Co-Borrower Information:
First and last name?
What is your age?
Your social security number?
Are you self employed?
Employer's name and address?
Work phone number?
How long with current employer?
Monthly income before taxes?
How long in the same type of job?
Amount and source of other income?
Previous bankruptcy? What year?
Previous foreclosure? What year?