Are you submitting individually?
    Yes No  
    Are you a first-time homebuyer?
    Yes No
    Will this be your?
    Primary Home Secondary Home Investment Property
    What type of loan do you want?
    Fixed Rate: Adjustable Rate:
    15 1 Year
    20 3Year
    30 5Year
    7Year

 
  First: Middle: Last:
 
  Social Security Number
  - -
  Citizenship status?
 
  Date of birth? (mm/dd/yyyy)
  - -
  Home phone number?
  - -
  E-mail address?
 
  Address
   
 
 
  Have you signed a sales contract?
  Yes No
  How much do you expect to pay for this home?
  $
  When do you expect to close?
  / /
  If applicable what will be your Homeowner's Association or Condominium Dues?
  $
  How much of a down payment do you expect to make?
  $
  How do you plan to pay for your down payment and closing costs?
 
  Where is your new home located?
    City State Zip Code
    What type of home is this?
   


 
  What is your employment status?
 
  Do you own 25% or more of a business?
  Yes No
  What is your business phone number?
  - -
  How long have you worked for your current employer?
 

 
  What is your total monthly income?
  $
  What is your current monthly housing payment?
  $
  What are your total monthly debt payments?
  $
  What are your total assets?
    At a minimum, total assets should cover down payment and anticipated closing costs.
Important: Include all readily available funds, such as net proceeds from a pending sale of a residence, cash gifts, cash savings, certificates of deposit, money market accounts, and investments (but not retirement or pension funds). Even if you do not plan to use them for your down payment and/or closing costs, these assets will help us determine your ability to qualify for a loan.
    Checking & Savings: $
    Net Proceeds From Sale of Home: $
    Other Liquid Assets: $
    If you have ever declared bankruptcy when was it discharged?
   
    If you have ever had property foreclosed upon, when did it take place?
 

 

 

 

730 NW 107TH AVE
SUITE 120
MIAMI, FL. 33172
Lic. Mortgage Brokerage Business
 
 Tel: 305 220-1101
 Fax: 305-220-1195
 Toll Free: 1-888-213-4450