Freddie Mac Survey
May ,   2003
5.34 %




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  • Use this form to request mortgage information.
  • Please fill out as much of this form as possible.
  • When finished click the "Submit Form" button.
  • If you prefer to speak to a loan officer please call us at ph# 800-888-8888
  Notice: Filling out this form does not lock in rate nor guarantee rate protection of any kind.  Loan applications must be confirmed verbally with a representative. Please call us at the above number to lock-in rate and/or to have us answer any of your questions. A loan officer may contact you. A phone number is required.

The information you enter on this form will be kept in strict confidence.

PLEASE DO NOT USE DOLLAR SIGNS ($) OR COMMAS ( , ) 
WHEN ENTERING NUMBERS.

Mortgage Type:

1st 2nd Home Equity

Amount Requested:

$


Property To Be Financed (if known)

Address:

Apt. or Unit# :

City:

State:

Zip:
 

IF REFINANCING FILL OUT THE FOLLOWING INFORMATION and then continue with Form
When did you purchase?

yr. mo.
What was the purchase price?

$

What do you think it is worth today?

$

Do you own other properties?

Yes No

 If so how many?
Existing Mortgages 1st Mortgage 2nd Mortgage

Please enter below the monthly information for:

  Mgt. Balance $ $
Taxes & Insurance Monthly Mortgage 
(Are taxes and insurance included in your payment? Yes)		 $ $



IF PURCHASE FILL OUT THE FOLLOWING INFORMATION

When do you expect to purchase?

yr.  mo. 
When will home be completed?

yr.  mo. 
What is the purchase price?

$

What is your down payment?

$

Do you own other properties?

Yes No

 If so how many?

Personal Information
  Applicant Co-Applicant
First Name
Last Name
Social Security Number
E-Mail 
Home Phone
Fax
How would you rate your credit?
Are you married to the Co-Applicant?  
Best time to contact you?

If purchase address is different than the property address

Did you?

How long?

 yrs.  mo

Address:

Apt. or Unit# :

City:

State:

Zip:

Current Address 
(if less than 2 yrs. at current) or If Purchase Actual Address.

Did you?

How long?

 yrs.  mo

Address:

Apt. or Unit# :

City:

State:

Zip:



Employment History
 

Applicant

Co-Applicant
Employer Name
Gross Monthly Income* $ $
Your Position (title)

Self-Employed

Yes No

Yes No
Length with Company

yrs. mos.

yrs. mos.
Phone Number

Previous Employer   (if less than 2 yrs. at current)
Employer Name
Gross Monthly Income $ $
Your Position
Length of time with Company

yrs. mos.

yrs. mos.
Phone Number

Comments


* Before taxes & deductions
By submitting this on-line application, I/We authorize Your Company to check such information as my/our credit, business and employment status and history. Submitting this application does not lock-in rate. Please call us at 800-888-8888 if you have any questions.


 

 
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