NO-OBLIGATION LOAN APPLICATION

Instructions

Please fill out as much of this form as possible. When finished, insert the E-mail address provided by your Certified Loan Broker and  click the Submit button.

We will use this information to identify potential lenders.  The information you provide will be subject to verification prior to loan funding.  All information provided will be kept strictly confidential and be delivered in a secured method to the lender.

GENERAL INFORMATION:

Borrower:
Full Name: 
Social Security #:  (optional)     
Date of Birth:  
Address: 
City:                      
State: 
Zip Code:  
Home Phone:  
Work Phone:  
Cellular:                
Fax:  
Best time to contact:  
                        
Employer's Name:   
   Employer's Phone:   
Are you self employed?       Yes     No                If No, length of Employment: 
Gross Monthly Income:   
How's your credit history?       Excellent         Good, but some lates       Some credit problems 
                                          
Major credit problems           Don't know 

 

Co-Borrower:
Full Name:   
Relationship: 
Social Security #: (optional)  
Date of Birth:
 Address: 
City: 
State:
Zip Code:  
Home Phone:            
Work Phone: 
Cellular:   
Fax:             
Best time to contact: 
Employer's Name:   
Employer's Phone: 
Are you self employed? Yes      No             If No, length of Employment: 
Gross Monthly Income:
Co-Borrower's credit history:  Excellent         Good, but some lates        Some credit problems
       Major credit problems          Don't know
                                              

Loan Request:            Amount Requested:      Type of Loan: 

Property Information  ( For Refinance Only ) This information needs to be filled out for property that is collateral for the loan.
Street Address: 
City: 
State: 
Zip Code:
Estimated Present Value: $    
Original Price: $
Purchase Amount:    $
Type of Property:  Primary       Second/Vacation          Investment  

 

Property Information  ( For Purchase Only )
Time Frame:   Thinking about it                     Actively looking      
                       About to make an offer           Have a sales contract
Realtor's information:
Purchase Price: $
Down Payment Amount: $
Street Address:
City: 
State:
 Zip Code:
 Type of Property: Primary         Second/Vacation        Investment

 

Loan Information:
Mortgage Balances
  Amount:     Lender: Payment:
First:                        
Second:                    
Other:                       
 
            Creditors                                               Amount Owed  Monthly Payment Pay this off with this loan?
            $          $ Yes     No
          $        $ Yes     No
            $           $ Yes     No
Other monthly debts and information  -  please describe
 

By submitting this online application, I / We authorize you to obtain information regarding my/our credit, business and employment status and histories.
 What's your email address? 
 

To transmit this application, insert the email address provided by your Certified Loan Broker here (From original advertising or business card of your Certified Loan Broker).

 
This site is a clerical service provided by The Loan Consultants, Inc.  For Certified Loan Broker use only.
Copyright © 2007 The Loan Consultants. Inc. All rights reserved.