EZQualify Complete application

If this application is for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (check here):
Borrower Co-Borrower

* Indicates Required Fields

What Kind of Loan Are You Looking For?

Type of Loan		Our site uses Secure Socket Layer (SSL) software which encrypts your information as it travels over the Internet.
Residence Type:
Property Type:
Number of Units:
Length of loan desired?
Sales Price or Home-Value if Refi:
Estimated Loan Amount ($) *:
Interest Rate:
Property Address* City* Zip*

Please Tell Us About Yourself

Applicant Name , Middle In. Applicant Last Name Home Phone * ( ) - Work Phone ( ) -	Social Sec. Number *: - - Birth Date: Dependents no. Dependents ages (comma delimited)	Years of Schooling Email * (you will receive conformation to this email) Are you Married to the Co-Applicant

Co-Applicant Name, Middle In. Co-Applicant Last Name Home Phone ( ) - Work Phone ( ) -	Social Sec. Number : - - Birth Date: Dependents no. Dependents ages (comma delimited)	Years of Schooling Email

Applicant Current Address Applicant City	Applicant State Applicant Zip -	Length of time at address Years Months
Mailing Address (Same Address as above )
Address City	State Zip -

check here if co-app add is different from applicants address
Co-Applicant Current Address Co-Applicant City	Co-Applicant State Co-Applicant Zip -	Length of time at address Years Months

Employment Information

1.	Applicant Employer* Position*	Self Employed* Years on Job* Years in same field*	Monthly Income ($)*
	Address* City*	State* Zip*
2.	Co-Applicant Employer Position	Self Employed* Years on Job Years in same field	Monthly Income ($)
Income from alimony, child support or separate maintenance payments need not be revealed, if you do not choose to have it considered as a basis for repaying this debt.
3.	Other Income Applicant	Monthly Income ($)
4.	Other Income Co-Applicant	Monthly Income ($)

Total Gross Monthly Income ($):

Your Assets

1.	Cash Deposit (Account Type)	Amount ($)
2.

1.	Checking and Savings Accounts Financial Institution	Amount ($)	Account Number
2.	Financial Institution	Amount ($)	Account Number

1.	Stocks & Bonds (Description)	Amount ($)
2.
3.

1.	Life Insurance	Face Amount ($)

1.	Automobile Type	Est. Value ($)
2.
3.

1.	Other Assets (Description)	Amount ($)
2.
3.
4.

Please Describe Your Housing Expenses

	Monthly Pmt ($)		Monthly Pmt ($)
1^st Mortgage		2^nd Mortgage
Property Taxes		Home Owners Ins.
Mortgage Insurance		Rent Monthly Payment
Total Current Housing Expenses:

Aprx. 1^stMtg Balance ($):		Aprx. 2^ndMtg Balance ($):
Max Line of Credit ($):		Aprx. Home Value ($):
Home is to be:

Please list your Monthly Debts (Please enter any new credit cards, auto loans that may not show up on your Credit Report)

	Type of Liability	Account Number	Cur. Bal. ($)	Monthly Pmt. ($)
1.
2.
3.
4.
5.

Declarations

* all the fields in this section are mandatory

Applicant

Co-Applicant

1.

Are there any outstanding judgments against you?

2.

Have you been declared bankrupt within the past 7 years?

3.

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

4.

Are you a party to a lawsuit?

5.

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

6.

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.

7.

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

8.

Is any part of the down payment borrowed?

9.

Are you a co-maker or endorser on a note?

10.

Are you a U. S. citizen?

11.

Are you a permanent resident alien?

12.

Do you intend to occupy the property as your primary residence?
If "Yes," complete question 13 below.

13.

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

(a) What type of property did you own?

(b) How did you hold title to the home?

If you answered "Yes" to questions 2, 3, 5, or 6 please explain below:

Information for Government Monitoring Purposes

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish this information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not wish to furnish this information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Applicant

I do not wish to furnish this information:

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Race

	American Indian or Alaskan Native		Asian		Black or African American
	Native Hawaiian or Other Pacific Islander		White

Gender

Marital Status