Are You a Homeowner? YES      NO

Amount Requested
Purpose of Loan
Type of Property
Applicant
Co-Applicant

First Name (Required)

Last Name (Required)     Age

Social Security Number
- -

Home Phone
(Required)

Work Phone

 
Employment
  

Employer Name

Annual Income

Phone

Self Employed

Position              Years

($)Additional Income

First Name

Last Name Age

Social Security Number
- -

Home Phone

Work Phone

 
Employment
  

Employer Name

Annual Income

Phone

Self Employed

Position                    Years

($)Additional Income

 
Property Information
  

Owner Occupied, Investment Property

Street Address City State   Zip Code

Names on Deed Yearly Taxes($) Insurance($)

 

 
Refinance
  

Original Purchase Date Original Purchase Price

Year Built Present Market Value

1st Mortgage Balance     

1st Mortgage Holder (Bank)

Interest Rate (%)    

Current Payment($)

Years Remaining

 2nd Mortgage Balance

 2nd Mortgage Holder (Bank)

Interest Rate (%) 

Current Payment($)

Years Remaining

 
Purchases
  
Have you found the particular home to want to purchase?     

Purchase Price ($)               Down Payment ($)

Source of Funds       Proposed Closing Date:        Seller Concession: (%)

 
CREDIT HISTORY INFORMATION
  

Payments to Loans:
  $
(Car, Student, Personal Loans)
  
Payments to Mortgages:
  $
   
Payments to Credit Cards:
  $
Late Payments?:
       
Liens?:
       
Judgements?:
       
Bankruptcies?:
       
   

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I/We hereby give our consent to Citadel Investments, and any credit reporting bureau designated by Citadel Investments , to obtain any and all information concerning our employment, checking and/or savings account, obligations and all other credit matters which they may require in connection with our application for a mortgage loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the original which we have submitted.