Please complete this form in one sitting as there is no save functionality

Personal Information:

  • OK Name (Last, First, M.I.) is required
  • OK Social Security Number is required
  • OK Date of Birth is required
  • OK Phone is required
  • OK E-Mail is required
  • Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces?

    OK Did you (or your deceased spouse) ever serve, or are you currently serving, in the United States Armed Forces? is required

Tell us about your current living situation

  • OK Home Address or a P.O. Box is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK County is required
  • OK Years At Home Address is required

Tell us about the real estate you own

  • Do you own or rent at you current address?

    OK Do you own or rent at you current address? is required
  • Optional OK Mortgage payment amount is required
  • Optional OK How much is owed on the property? is required
  • Optional OK What's the approximate date you purchased the property? is required
  • What do you use the property as?

    OK What do you use the property as? is required
  • Do you own any other real estate?

    OK Do you own any other real estate? is required

Previous Address:

  • Optional OK Previous Address (Not a P.O. Box) is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip is required
  • Optional OK County is required
  • Optional OK Years At Previous Address is required

Dependent and Relative Information:

  • Optional OK Number of Dependents is required
  • Optional OK Age of Dependents is required

We'll need the following declarations from you

  • Do you intend to occupy the property as your primary residence?

    OK Do you intend to occupy the property as your primary residence? is required
  • Do you have a family relationship or business affiliation with the seller of the property?

    OK Do you have a family relationship or business affiliation with the seller of the property? is required
  • Are you borrowing any money for this real estate transaction (e.g. for closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

    OK Are you borrowing any money for this real estate transaction (e.g. for closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application? is required
  • Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that was not disclosed on this application?

    OK Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that was not disclosed on this application? is required
  • Have you or will you be applying for new credit (e.g. installment loan, credit card, etc.)on or before closing this loan that is not disclosed on this application?

    OK Have you or will you be applying for new credit (e.g. installment loan, credit card, etc.)on or before closing this loan that is not disclosed on this application? is required
  • Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g. the Property Assessed Clean Energy Program)?

    OK Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g. the Property Assessed Clean Energy Program)? is required
  • Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

    OK Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? is required
  • Are there any outstanding judgments against you?

    OK Are there any outstanding judgments against you? is required
  • Are you currently delinquent or in default on a federal debt?

    OK Are you currently delinquent or in default on a federal debt? is required
  • Are you party to a lawsuit where you have possible personal financial liability?

    OK Are you party to a lawsuit where you have possible personal financial liability? is required
  • Have you conveyed title to any property in lieu of foreclosure in the last 7 years?

    OK Have you conveyed title to any property in lieu of foreclosure in the last 7 years? is required
  • Within the last 7 years have you had a pre-foreclosure sale or short sale where the property was sold to a third-party and a lender accepted less than the outstanding mortgage balance due?

    OK Within the last 7 years have you had a pre-foreclosure sale or short sale where the property was sold to a third-party and a lender accepted less than the outstanding mortgage balance due? is required
  • Have you had a property foreclosed upon in the last 7 years?

    OK Have you had a property foreclosed upon in the last 7 years? is required
  • Have you declared bankruptcy within the past 7 years?

    OK Have you declared bankruptcy within the past 7 years? is required
  • Individual Applicant Information
  • Loan Application
  • Employment Information
  • Marital Status
  • Applicant Asset & Debt Information
  • Acknowledgement and Agreement
  • Form Complete

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