Mortgage Application

Featuring the USDA Rural Development Program

Mortgage Application

This form may be used for prequalification or application for any of our programs. There is no cost or obligation to submit your information. We have a strict privacy policy and your information will not be used for marketing or any other purpose. If you don’t have all the information or are not sure about something just skip that part and we will get it later.

Borrower		Co-Borrower
Name		Name
Address		Address
City		City
State, Zip	,	State, Zip	,
How long at this address?	Years	How long at this address?	Years
Renting or Buying?	Renting Buying	Renting or Buying?	Renting Buying
Current Payment	per month	Current Payment	per month
Date of Birth	, ,	Date of Birth	, ,
Social Security Number		Social Security Number
Home Phone		Home Phone
Cell Phone		Cell Phone
Work Phone		Work Phone
Best Contact		Best Contact
Email		Email
Employer		Employer
Job Title		Job Title
Monthly Gross Income	per month	Monthly Gross Income	per month
How Long at Job	Years	How Long at Job	Years
Other Income Amount	per month	Other Income Amount	per month

Property to Purchase (TBD if still looking)
Address
City, State & Zip	,
Purchase Price or Price Range
Plans for acquiring down payment
Is there a specific loan program you prefer?
Do you prefer a fixed or variable?	Fixed Variable
Do we have permission to get a credit report for you (no charge)?	Yes, I grant permission for you to obtain my credit report.
Other Comments