MORTGAGE LINC MORTGAGE LOAN MINI-APPLICATION

205-987-2350
Scan and Email (Preferable as it's clearer than a fax): MGILES@MORTGAGELINC.NET
Fax To: (205) 444-5416
   
Borrower's Name: ______________________________________________
SSN: _____________________________
Home Phone: ___________________________  
Work Phone: ____________________ Cell______________________Birth Date: _______________
Email:_________________________________________________
Present Address: _________________________________________________________________________________
City: _______________________________________________
State: _____________________ Zip: ______________
Need 2 years of Residence history: __________________________________________________________________________________________
Do you Rent or Own? ____________________
Co-Borrower Information (if applicable)
Co-Borrower's Name: ______________________________________________
SSN: ____________________________
Home Phone: _________________________
Work Phone:___________________________ Cell____________________Birth Date: _______________
Email:____________________________________________________
Present Address: ___________________________________________________________________________________
City: ____________________________________________ State:__________________________ Zip:______________
Need 2 years of Residence history: ___________________________________________________________________________________________
Do you Rent or Own? _______________________
Financial Information
Need 2 years job history for Borrower and Co-Borrower_________________________________________________________________________
How do you rate your credit history (Excellent, Good, Fair, Poor)? __________________________________________
Please explain any issues in your credit history: _________________________________________________________________________________
_______________________________________________________________________________________________________________________
Monthly Sources of Income             Borrower            Co-Borrower
Total Base Employment Income: $____________ $_____________
Overtime: $____________ $_____________
Bonuses: $____________ $_____________
Commissions: $____________ $_____________
Other Income: $____________ $_____________
Total: $____________ $______________
Monthly Obligations (Borrower and Co-Borrower)
Rent Payments: $_____________
Mortgage Payments: $_____________
Borrower Self Employed: Yes______No_______
Credit Card Payments: $_____________
Co-Borrower Self-Employed: Yes______No_______
Other Payments: $_____________
Total: $_____________
Loan Request Information
Loan Amount Requested: $____________________________
Price of Home: $______________________
Price of Land: $____________________
Price of Land Improvements: $____________________________________________
Purpose of Loan: [ ] Purchase [ ] Refinance [ ] Construction
Purpose of Residence: [ ] Primary [ ] Second Home
[ ] Investment Property
Type of Loan: [ ] Conventional [ ] FHA [ ] VA [ ] USDA [ ] Reverse

Authorization:

By affixing my signature below, I confirm that the information provided above is true and accurate, and, I grant that this information be used to
pre-qualify me for a mortgage loan, including the right to obtain my credit report. I understand that the information will remain private and confidential.
Borrower's Signature: __________________________________________________
Date: __________________________
Co-Borrower's Signature: _______________________________________________
Date: __________________________