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Download printable quick app
Quick Application
This Quick Application is all you
need to get your loan started.
Fill out the quick app
Agent/Loan Officer Information:
Agent/Loan Officer
Company:
Email Address:
Primary Phone:
Secondary Phone:
x
x
Personal Information
First Name
Last Name
Social Security
Birthday (MM/DD/YYYY)
*Primary Borrower
-
-
/
/
Co-Borrower
-
-
/
/
Borrower's Rated Credit:
- Select Credit -
Great - 720+
Good - 681 - 719
Average - 620 - 680
Poor - 580 -620
Bad - Less than 580
I Don't Know
Co-Borrower's Rated Credit:
- Select Credit -
Great - 720+
Good - 681 - 719
Average - 620 - 680
Poor - 580 -620
Bad - Less than 580
I Don't Know
The Loan Plan
Loan Type
- Select Loan Type -
Reverse Mortgage
Purchase Loan
Refinance
Home Equity Loan
2nd Trust Deed
*Loan Amount
$
*Estimated Price/Value of Home
$
Down Payment
- Select % -
0%
3%
5%
10%
15%
20%
25%
30%
Other
N/A
Source of Down Payment
- Select Source -
Checking / Savings
Proceeds from sale of current home
Gift From a Family Member
Sale of Security / Stock
Other
Please specify:
Residence Information (Need 2 Year History)
Current Residence
Previous Residence
*Address
*City
*State
*Zip
Address
City
State
Zip
Additional Information/History (
300
characters remaining)
Current Residence Monthly Housing Expenses
*Rent or Own
Rent
Own
*Who do you pay rent to?
- Select -
Landlord
Management Company
Relatives
Don't Pay Rent
*Which method of payment do you use most?
- Select -
Cash
Check or Money Order
Other
*Rent Payment
Annual Property Tax
HOA Dues
$
$
$
Contact Information
*Home Phone
-
-
*Work Phone
-
-
x
Co-Work Phone
-
-
x
Cell:
-
-
*Email Address
Co-Email Address
Best Time To Call
Employment Information (Need 2 Year History)
Primary Borrower
Co-Borrower
*Company
Employer Name
Employer Title
*Borrower Title
*Self Employed?
*Years with Company
- Select Option -
Yes
No
*Office Address
*City
*State
*Zip
*Office Main Phone
-
-
Company
Employer Name
Employer Title
CoBorrower Current Title
Self Employed?
Years with company
- Select Option -
Yes
No
Office Address
City
State
Zip
Office Main Phone
-
-
Additional Information/History (
300
characters remaining)
Current Monthly Income Information
Primary Borrower
*Income Type
- Select Income Type -
I am a W2 wage earner and I can verify all of my income ( Full Doc)
I am Self Employed and I can verify all of my income (Full Doc)
I am a W2 wage earner and I can't verify my income (Stated Income)
I am Self Employed and I can't verify my income (Stated Income)
Other
*Gross Monthly Income
$
Rental Income
$
Other Income
$
Co-Borrower
Income Type
- Select Income Type -
I am a W2 wage earner and I can verify all of my income ( Full Doc)
I am Self Employed and I can verify all of my income (Full Doc)
I am a W2 wage earner and I can't verify my income (Stated Income)
I am Self Employed and I can't verify my income (Stated Income)
Other
Monthly Base Salary
$
Rental Income
$
Other Income
$
Investments and Savings
*Asset Verification
- Select Asset Type -
I am able to verify all of my down payment as well as 6 months reserves (Full Doc)
I am NOT able to verify my assets (Stated Assets)
Other
Questions and Comments:
Terms and Conditions
Each applicant specifically acknowledges and agrees that: 1) You authorize Broker and the financial institutions to which Broker provides this information to check your credit and employment history, to answer questions regarding their credit history with you, and provide that information to credit bureaus and to return their decision to you via the Lenders system. 2) The loan requested by this application will be secured by a first or second mortgage or deed of trust on the property described herein; 3) All statements made in this application are made for the purpose of obtaining the loan indicated herein 4) Occupancy of the property will be as indicated above 5) Verification or re-verification of any information contained in the application may be made at any time by the Lender, its agents, successors and assignees, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved 6) The Lender, its agents, successors and assignees will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing 7) Ownership of the loan may be transferred to successor or assignees of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assignees of the Lender prior notice to me 8) The Lender, its agents, successors and assignees make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property. Certification I/We certify that the information provided in this application is true and correct as of the date submitted and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 10001, et seq. a liability for monetary damages to the Lender, its agents, successors and assignees, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.
Please state whether you agree to the terms and conditions stated above:
Agree
Disagree
May we access your credit report to help determine your qualifications for a loan?
Yes
No
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