Loan Application
Borrower's Name (First Last):
Social Security Number:
(123-45-6789)
Date of Birth:
(mm/dd/yyyy)
Co-Borrower Name (First Last)
(if applicable)
:
Social Security Number:
(123-45-6789)
Date of Birth:
(mm/dd/yyyy)
Street Address:
City:
State:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Zip:
Home Phone: (123-555-5555)
Work Phone: (123-555-5555)
Cell Phone: (123-555-5555)
Email Address:
Please answer the following questions to the best of your ability.
Borrower
Co-Borrower
Have you pulled your credit report within the last 6 months? (www.annualcreditreport.com)
YES
NO
YES
NO
Is your middle credit score at least a 620?
YES
NO
YES
NO
Do you have any outstanding Collections?
YES
NO
YES
NO
Do you have any recent Late Payments on your credit in the past 12 months?
YES
NO
YES
NO
Do you currently own a home?
YES
NO
YES
NO
If you currently own a home, have you ever been, or are you currently, late on your mortgage payment?
YES
NO
YES
NO
Are you obligated to pay alimony, child support, or separate maintenance?
YES
NO
YES
NO
Are you Married?
YES
NO
YES
NO
Have you co-signed on any loan?
YES
NO
YES
NO
Are you a US citizen?
YES
NO
YES
NO
Are you a permanent resident alien?
YES
NO
YES
NO
Do you intend to occupy the property as your primary residence?
YES
NO
YES
NO
Have you had ownership interest in a proprety in the last three years?
YES
NO
YES
NO
What type of property did you ow - principle residence (PR), second home (SH), or investment property (IP)?
How did you hold the title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
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