APPLY FOR A HOME LOAN TODAY! Name * First Name Last Name Phone (###) ### #### Email * Household Income * $ Select Monthly Annually Can you document your income through pay stubs, W2s, etc?: Yes No Have you been employed in the same line of work for over two years?: Yes No Have you ever filed for bankruptcy?: Yes No If yes please explain: What will be the source of the down payment?: Home Sale Equity Loans Stocks Personal Savings Other Your monthly payments on other loans such as car, student loan, credit cards, etc.: $ How much are you planning to put down?: * $ What is your Credit Rating?: Exceptional (800–850) Very good (740–799) Good (670–739) Fair (580–669) Poor (300–579) What is the purpose of the loan?: Choose one New home purchase Refinance equity mortgage Refinance 1st mortgage Second mortgage Home equity loan Home improvement loan Other If other please specify: Loan amount you wish to borrow?: $ Property Type: Choose one Single Family Residence Townhouse/Condo Multiple Residential Units Residential Land Mobile Home Commercial Land Commercial For Rent Residential For Rent Property Use: Choose one Primary Residence Secondary Residence Investment Property Property location: * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Notes * Thank you! A representative will contact you within 24-48 hours with next steps in the pre-approval process.