Online Application


 
Please Fill in as much information as you can

 
Hit Tab to move from line to line (do not hit enter)

 
Loan Information:
Type of Transaction: Do You Currently Own A Home?(Req)
Type of Property?: Are You Including Credit Card and other Debts in this Loan?:
Desired Amount(Req) Amount to Consolidate: Not Required.
Term of New Loan(Req)
Borrower
Name:(Req) DOB:(Req)
SSN#:(Req)
Address:(Req)
City:(Req)
State:(Req) Zip:(Req)
Previous
Residence:

(If current residence is less than 2 years)
Home
phone#:(Req)
Work
phone#:
Email Address:(Req)
Marital Status: Married    Unmarried
Co-Borrower
Name: DOB:
SS#:
Work
phone#:
Marital Status: Married    Unmarried

 
Income Information:
Borrowers Employer:(Req) Position:
Gross Mo.Income:(Req) $ Years on job:
Previous Employer:
(If current employer is less than 2 years)
Additional Income
Amount: Source:
CO-borrowers Employer: Position:
Gross mo. income: $ Years on job:
Previous Employer:
(If current employer is less than 2 years)
Additional Income
Amount: Source:

 
Residence Information:
Purchase Date: Price Paid: $
Current Value: $ Mortgage balance: $
Payments: $ Lender:

Second Mortgage or Equity line of credit
Balance: $ Payments: $
Would you like to pay off your equity line or second, and include it in your home improvement?

 
Is your home a mobile home?
If so do you own the land?

 
Authorization: We hereby give our consent to Absolute Mortgage or A Good Home Loan, along with any Credit Reporting Bureau which they may designate, to obtain any and all information concerning our employment, checking and savings accounts, mortgage payments and all credit matters which they may require in processing our application for a loan and/or extenstion of credit. I/we certify that the information given is honest and accurate and without omission.
Borrower (Req) Date (Req)
Co-Borrower Date

 
Page 2. (please include with application if faxing or mailing)
The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are NOT required to furnish this information, but are encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information nor on whether you chose to furnish it. However, if you choose not to furnish it, under Federal regulations this lender is required to note race and sex on the basis of visual observations or surname. If you do not wish to furnish the below information please check the box appropriately. (Lender must review the material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)

 
Borrower Information
 Ethnicity:
 Hispanic or Latino
 Not Hispanic or Latino
 Race:
 American Indian or Alaskan Native
 Asian
 Black or African American
 Native Hawaiian or Other Pacific Islander
 White
 Gender:
 Female
 Male

 Borrower: I do not wish to provide this information (initials):

 
Co-Borrower Information
 Ethnicity:
 Hispanic or Latino
 Not Hispanic or Latino
 Race:
 American Indian or Alaskan Native
 Asian
 Black or African American
 Native Hawaiian or Other Pacific Islander
 White
 Gender:
 Female
 Male

 Borrower: I do not wish to provide this information (initials):

 
Additional Comments


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