Loan Application

Loan Information

Type of loan requested:  Select One Purchase Refinance Cash Out/Debt Consolidation Construction to Perm         Term of new loan:  Select One 30 Year Fixed 20 Year Fixed 15 Year Fixed 10 Year Fixed 5 Year ARM 3 Year ARM 2 Year ARM Interest Only

Loan amount requested:  $        Estimated appraised value of home: (for refinance)  $   

If Refinancing, purpose of new loan? (in your own words) 

Sales price: (for purchase)  $        

Property address:        City:       State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code: 

Property will be: Select One Primary Residence Investment Property/Non-Owner 2nd Home/Vacation Home         Property type:  Select One Single Family Residence Condominium Town Home 2-4 Units Multi-family (five + units) Manufactured Home Modular Home Home with over 5 acres

Borrower's Information

First name:       MI:       Last name: 

Social Security #:      Date of Birth:       Years of School: 

Marital status:  Married        Unmarried        Separated

Number of Dependents:      Ages: 

Present Address:       City:       State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code: 

Number of years at residence:       Home phone: 

(if not at current residence for 2 years please provide previous address)

Previous Address:       City:       State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code: 

Number of years at previous residence:   

Employment History

Name of employer:          Address: 

City:          State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code:      Work phone #: 

Contact name:      Years on job:       Years in type of work: 

Gross monthly income (before taxes):  $         Position: 

(if not at current employer for 2 years please provide previous employer)

Name of previous employer:          Address: 

City:          State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code:          Years on job: 

Work phone #:      Contact name:      Position: 

Co-Borrower's Information

First name:          MI:          Last name: 

Social Security #:          Date of Birth:       Yrs. School: 

Marital status:  Married        Unmarried        Separated

Number of Dependents:      Ages: 

Present Address:       City:       State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code: 

Number of years at residence:       Home phone: 

(if not at current residence for 2 years please provide previous address)

Previous Address:       City:       State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code: 

Number of years at previous residence: 

Employment History

Name of employer:          Address: 

City:          State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code:      Work phone #: 

Contact name:       Years on job:      Years in type of work: 

Co-borrower's gross monthly income (before taxes):  $         Position: 

(if not at current employer for  years please provide previous employer)

Name of employer:          Address: 

City:          State:  Texas Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming         Zip Code:          Years on job: 

Work phone #:          Contact name:      Position: 

ASSETS

Checking/Savings

Checking Account Institution:        Average monthly balance:  $

Savings Account Institution:           Average monthly balance:  $

Stocks/Bonds/401K

Stocks/ Bonds/401K (list holding company)

1.  Company Name:          Amount:  $

2.  Company Name:          Amount:  $

3.  Company Name:          Amount:  $

Life Insurance:  Company Name:      Cash value:  $

Other assets

1.          Value:  $

2.          Value:  $

3.          Value:  $

Mortgage/Rental History

Current mortgage lender:   (required if refinance)       Balance:  $

Current interest rate:  %     Current monthly payment:  $

Does your monthly payment include taxes and insurance?    Yes        No

Do you want to Escrow your taxes and insurance?       Yes        No

Homeowners insurance annual premium:  $         Annual taxes:  $

What type of loan do you have?  Select One Fixed Rate Loan Adjustable Rate Mortgage Balloon Loan Short Term Fixed Unknown

Do you have a pre-payment penalty?  Yes        No        Unknown

2nd mortgage lender (if applicable): 

Loan balance:  $         Monthly payment:  $

Interest rate:  %        What type of loan?  Select One Fixed Rate Line of Credit Unknown

Current rent:  $

Rate Your Credit

How would you rate your credit?  Select One Excellent (never been late on a payment) Good (some lates, but none in the last year) Pretty Good (some lates within the last year) Fair (several lates within the last year and a few over 60 days past due) Poor (several lates within the last year over 60 days past due)

How Did You Hear About Hometown Mortgage

How did you hear about Hometown Mortgage?  Select One Yellow Pages Superpages.com Texas Real Estate Pages Radio Ad Real Estate Agent Internet Search Newspaper Ad Family/Friend Other (please tell us how)

Other:  (please tell): 

* Pre-qualification is neither pre-approval nor a commitment to lend; you must submit additional information for review and approval.