Secure Mortgage Application (651)
552-3681
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Borrower Basic Information |
* =
Required Information |
Is there a
co-borrower? |
No Yes
- If yes, co-borrower name
If yes, co-borrower information can be entered on the next page
but include their assets (checking/savings) on this page.
|
Your FULL Name (First, MI,
Last) * |
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Email address * |
Required |
Best Phone # * |
Home or Cell
2nd best phone # Home or Cell |
Current
Address * |
City State
Zip |
How long have you lived here |
years months |
Do you currently |
|
Old Address
|
(if at current less than 2
years)
Address City State Zip |
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Did you How
long did you live there years months |
Date of Birth (format mo/da/year) |
Required |
Social
Security Number |
Required |
Credit |
|
|
Ever
File Bankruptcy? If
Yes, How long discharged? Years |
Marital Status |
|
Years of Schooling |
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Any dependents? |
No Yes.
If yes, how many? .
Ages |
Are you US Military? |
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Borrower
Employment |
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Employer |
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Address |
City State Zip |
Position/Title with Company |
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Time with Current Employer |
Years Months |
How long in this line of work? |
Years |
Are you self employed? |
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Work Ph#
|
(REQUIRED for
verification of employment) |
Previous Employer |
(if
less than 2 years with current employer)
Employer |
|
Address City State Zip |
|
You worked
there from when to when mo
/yr
until mo
/ yr |
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Old Income ,
per |
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Former Position/Title |
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Contacting You |
We usually attempt to
contact you between 10:00 AM & 6:00 PM Monday - Friday.
If we are unable to contact you during this time frame, it could delay
your application. |
Daytime Contact |
at |
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Basic Loan
Information |
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Purpose of loan (Refi,
Purchase) |
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Type of Loan (Fixed, ARM,
FHA, etc) |
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Amortization
Term: |
6
yr - 30 yr available |
Estimate Loan Amount Needed
$ |
|
Property will be our |
|
I applying today for |
|
Estimated Closing Time |
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Purchasing a home? |
Answer these additional questions: (skip
if refinancing) |
What is the Purchase Price? |
(estimate
if pre-approval) |
Down Payment % |
|
Amount of Down Payment $ |
.00 |
Source of Down Payment: |
|
Property Taxes on New Home? $ |
(if
known) |
Are you working with a
Realtor? |
Yes,
info below No
realtor yet Please
refer a great one |
Realtors Info: |
Name |
|
Ph# Email |
|
|
Refinancing? |
Answer the following additional
questions: (skip
if purchasing) |
Your Current Monthly Payment
is: |
$. Does
this include escrows? YES NO |
Your Current Interest Rate? |
%.
Current Mortgage Company Name? |
Do you escrow for taxes &
Insurance? |
YES NO |
Who owns your
mortgage? |
Check Fannie
Mae Check Freddie
Mac |
Current
Escrows: |
Property Taxes $.
Homeowners Insurance $ (if
known) |
About this
property? |
Year
purchased? .
What was the original cost? $ |
Today's Estimated Value $ |
|
Estimated Remaining Balance
$ |
|
Do you have
PMI on your loan? |
YES NO |
Have
a 2nd Mortgage/Equity Loan? |
YES NO
- If yes, how much do you still owe? |
Keep
or consolidate 2nd mortgage? |
Keep Consolidate |
How to pay closing
costs? |
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Subject Property Information: |
The Home you are buying or refinancing |
Same as mailing address? |
Yes
(refinance) |
Found
property? |
Yes
(address below) No
-
(Still Looking) |
Address: |
City State Zip |
: |
(we lend in MN, WI, and SD only) |
Monthly
Income: |
Gross Monthly Income (Pre-Tax) |
Base Income $ |
per |
Overtime |
|
Bonuses |
|
Commissions |
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Dividends/Interest |
|
Net Rental Income |
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Other |
(Child
Support, Social Security, Pension, etc) |
|
Explain Income |
|
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Current Housing Costs: |
|
Rent |
|
First Mortgage Payment (P/I) |
Hazard
Insurance Property
Taxes |
|
PMI Homeowner
Assn. Dues |
Second Mortgage Payment
(P/I) |
|
|
|
Assets: (Include all
Applicants) |
(includes checking, savings,
stocks, mutual funds, etc.) (Include
all Applicants Assets) |
Account 1 |
$ Name
of Bank |
Account 2 |
$ Name
of Bank |
Account 3 |
$ Name
of Bank |
All additional accounts |
$ |
Stocks and Bonds |
$ Name
of Bank |
401(k)/Retirement |
$ |
Net Worth of Businesses
Owned |
$ |
Automobiles Owned 1 |
Yr/Make.
Estimated Value $ |
Automobiles Owned 2 |
Yr/Make.
Estimated Value $ |
|
|
Liabilities: |
Who do you owe? (Include
all Applicants debts) |
Current 1st Mortgage Co
or Landlord Name |
.
Monthly payment |
Current 2nd Mortgage Co |
.
Monthly payment |
Alimony/Child Support |
$ |
All other debts of ALL applicants (car loans, credit cards,
student loans, etc) |
List only
minimum required monthly payments
$month.
Total unpaid balance(s) $ |
|
|
Own
Other Properties: |
|
Own
any other property |
NO YES |
If "Yes" - What is it worth? |
$ How
much do you owe on it? $ |
What is the
payment? |
$ |
First other
property address |
City St Zip |
Second other
property address |
City St Zip |
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Declarations: |
|
|
A.
Are there any outstanding judgments against you? |
|
B.
Have you been declared bankrupt within the past 7 years? |
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C. Have
you had property foreclosed upon or given title or deed in lieu thereof
in the last 7 years? |
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D. Are
you a party to a lawsuit? |
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E. Have
you directly or indirectly been obliged on any loan which resulted in
foreclosure, transfer of title in lieu of foreclosure or judgment? |
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F. Are
you presently delinquent or in default on any Federal debt or any other
loan, mortgage, financial obligation, bond, or loan guarantee? |
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G. Are
you obligated to pay alimony,
child support, or separate maintenance? |
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H. Is
any part of the down payment borrowed? |
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I. Are
you a co-maker or endorser on a note? |
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J. Are
you a U.S. citizen? |
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K. Are
you a permanent resident alien? |
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l. Do
you intend to occupy the property as your primary residence? |
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M. Have
you had an ownership interest in a property in the last three years? |
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(1.) What
type of property did you own Principle residence (PR), second home (SH),
or investment property (IP)? |
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(2.) How
did you hold title to the home - solely by yourself (S), jointly with
your spouse (SP), or jointly with another person (O)? |
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Government: |
Information for Government Lender Monitoring purposes |
I
do not wish to answer |
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Race |
|
Ethnicity: |
NOT Hispanic
or Latino
Hispanic
or Latino |
Gender |
Male Female |
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Other
Information: |
Please write in any other
information you feel is important to us making our decision, or answers
to any YES questions in the declarations section. |
|
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How did you find out about
us |
This help's keep our advertising dollar effective, therefore reducing YOUR closing
costs! |
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Finish: |
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