Type of Loan Requested:
Loan Type: 
Residence Type: 
Property Type: 
Loan Type: 
Amortization Type: 
Estimated Loan Amount:  $

Applicant must be person with highest income. Required Fields in Red.
Applicant First Name
  
Applicant Last Name

Home Phone
 SSN

E-Mail

Age: Years in School:
Present Address

City

Do you rent or own this property?
State

Zip
Number of Years
 Number of Months
   If residing at present address for less than two years, complete the following:
Former Address #1

City, State

Did you rent or own this property?
Zip
Number of Years
 Number of Months
 
Co-Applicant First Name
  
Co-Applicant Last Name

Home Phone

 SSN

E-Mail

Age: Years in School:
Present Address

City
State

Zip

If This is a Purchase
Subject Property Address

City

Number of Units
 State

Zip

Year Built
Source of Down Payment, Settlement Charges and/or Subordinate Financing (explain) 

If this is a refinance loan fill in the following:
Year Acquired

Original Cost
Amount Existing Liens
 Purpose of Refinance

Describe any Improvements

Cost
$
Estimated Present Value
Title will be held in what Name(s)
1.
2. 
Manner In which Title will be held

The Estate will be held in:

If you chose Leasehold for the above 
option, please tell us the expiration date

   Applicant Employment Information:

1.		 Applicant Current Employer
Address

City, State

Zip

Work Phone
 Position

Years on Job
Years in same field
Self Employed
If you have been employed in current position for less than two years or if you are currently employed in more than one position, please complete the following:

2. 		Applicant Additional Employer
Address

City, State Zip

Work Phone
 Position

Monthly Income Amt.
$
Begin Date
End Date
Self Employed
   Co-Applicant Employment Information:

1.		 Co-Applicant Current Employer

Address

City, State

Zip

Work Phone
 Position

Years on Job
Years in same field
Self Employed
If you have been employed in current position for less than two years or if you are currently employed in more than one position, please complete the following:

2.		 Co-Applicant Additional Employer
Address

City, State Zip

Work Phone
 Position

Monthly Income Amt.
$
 Begin Date
End Date
Self Employed

Applicant Co-Applicant
Base Employment Income
Overtime
Bonuses
Please describe any other income: Monthly Amount

Assets:
Checking And Savings Accounts:
1. Financial Institution
 Account Type
Address

City, State

Zip
 Amount
$
2. Financial Institution

Account Type
Address

City, State

Zip
 Amount
$
3. Financial Institution

Account Type
Address

City, State

Zip
 Amount
$
 Stocks and Bonds:
1. (Please Describe)
 Amount
$
2. $
3. $
1. Vested Interest in retirement fund  Amount $
1. Net Worth of business(es) owned  Amount $
1. Automobiles Owned Est. Value
$
2. $
3. $
1. Other Assets (Please Describe)
 Amount
$
2. $
3. $
4. $

   Schedule of Real Estate Owned Other Than Primary Residence:
1. Property Address

City, State Zipcode

Type of Property

Present Market Value
$
Property Mortgage Liens
$
 Gross Rental Income
$
Mortgage Payments
$
Insurance, Taxes & Maintenance
$
Net Rental Income
$
2. Property Address

City, State Zipcode

Type of Property

Present Market Value
$
Property Mortgage Liens
$
 Gross Rental Income
$
Mortgage Payments
$
Insurance, Taxes & Maintenance
$
Net Rental Income
$
3. Property Address

City, State Zipcode

Type of Property

Present Market Value
$
Property Mortgage Liens
$		 Gross Rental Income
$
Mortgage Payments
$
Insurance, Taxes & Maintenance
$
Net Rental Income
$
   VIII Declarations:

If You answer "yes" to any questions please explain in the comments.  

  

Borrower

  

Co-Borrower

a.  Are there any outstanding judgements against you?

b.  Have you been declared bankrupt within the last 7 years?

c.  Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

d.  Are you a party to a lawsuit?

e.  Have you directly or indireclty been obligated on any loan which resulted in foreclosure, transfer of titles in lieu of forclosure, or judgement?  (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (moblie) home loans, any mortgage financial obligation, bond, or loan guarantee.  If "Yes," provide details including date, name, and address of Lender, FHA and VA case number, if any, and reasons for the action.   

f.  Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?  If "Yes," give details as described in the preceding question.

g.  Are you obligated to pay alimony, child support, or separate maintenance?

h.  Is any part of the down payment borrowed?

i.  Are you co-maker or endorser on a role?

j.  Are you a U.S. citizen?

k.  Are you a permanent resident alien?

l.  Do you intend to occupy the property as your primary residence?  If "Yes," complete question m below.

m.  Have you had an ownership interest in a property in the last three years?

(1)  What type of property did you own- principal residence (PR), second home (SH), or investment property (P)?

(2)  How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Comments regarding declarations: 

  Contact Information:

The best time to contact me:
 would be: 
around:  :
by: 
Comments: 

* "I authorize The Mortgage Company Inc. and/or assigns to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be the equivalent of the original."


THE MORTGAGE COMPANY INC.
One Perimeter Park South, Suite 100N
Birmingham, AL 35243
Email: jack@mortgageco.info
Phone:(205) 970-6026
Cell: (205) 410-3948
Toll Free: (877) 888-1982

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