Online Loan Application - Borrowers & Brokers

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Online Loan Application

PLEASE COMPLETE ALL APPLICABLE FIELDS BEFORE SUBMITTING
Borrower
	Borrower's Name:
	Borrower's Email Address:
	Home Phone Number:
	Work Phone Number:
	Cell Phone Number:
	Closest Relative's Name:
	Address:
	City:
	State:
	Zip Code:
	Cell Phone Number:
	Alternate Phone Number:
Subject Property:
	Describe:
	Address:
	City:
	State:
	Zip Code:
	1st Mortgage Balance:
	2nd Mortgage Balance:
	1st Mortgage Holder:
	2nd Mortgage Holder:
	Can 2nd be subordinated?:	Yes No
	Total Monthly Payments:
	Other Lien(s):
	Type of Loan:	Refinance Purchase Owner Occupied Investment
	Property Value:
		OR
	Appraised Value:
	Purchase Price:
	Property Type:	SFR Commercial Commercial Duplex (2-4 Units) Condo/Townhouse Other (explain below)
	Explain Other Property Type:
	Construction Type:	Frame CBS Other (explain below)
	Explain Other Construction Type:
	Requested Loan Amount:
	LTV:
	Credit Score:
	Co-Borrower:
	Qualifying LTV:
	Net Monthly Income:
	Cash Out?:	Yes No (If 'Yes', answer below)
	If 'Yes' Intended use of Funds:
Broker Information (FOR BROKER USE ONLY)
	Brokerage Firm:
	Telephone:
	Fax Number:
	Cell Phone Number:
	Broker's Name:
	Commission:
	Email Address:

NOTE: THE LOAN SUBMISSION FORM IS USED TO PRE-QUALIFY THE BORROWER AS TO VALUE AND IS NOT REGARDED AS A FORMAL LOAN APPLICATION. UPON APPROVAL A FORMAL LOAN APPLICATION WILL BE REQUIRED TO BE EXECUTED ACCOMPANIED WITH GFE, TIL & MORTGAGE LOAN COMMITMENT AGREEMENT.

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