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Application
IMPORTANT: After you submit your application, you must provide copy of your W2-2015 and latest paystub (or proof of income, for each people living in the house) - Otherwise, your application can't be process. You can fax this to 727-490-2938
Please note: * required field
I.- HOME PRICE
Home Price:
(if you dont know the pruchase price leave this field blank)
II.-PROPERTY INFORMATION AND PURPOSE OF THE LOAN
Address:
City:
State:
Zip:
Loan Purpose:
Select Loan Purpose
Purchase
Refinance
Cash Out Refinance
Construction Loan
Construction to Permanent Loan
Other
Residence Type
Select Residence Type
Primary Residence
Second Home
Investment
III.-BORROWER INFORMATION
First Name
*
:
Middle Name:
Last Name
*
:
Home Phone:
Cell Phone
*
:
Email
*
:
SSN
*
:
DOB
*
:
Rent or Own?
*
:
Select One
Rent
Own
Living with Family
Monthly Rental $:
Current Address
*
:
City
*
:
State
*
:
Zip
*
:
# Years living in this Address
*
:
Dependents
*
:
How Many Years you went to School:
*
:
First Name:
Middle Name:
Last Name:
Home Phone:
Cell Phone:
Email:
SSN:
DOB:
Dependents:
How Many Years you went to School:
IV.-EMPLOYMENT
How Do you get paid?:
*
- Select One -
Paystubs with W2
Self Employed
1099
Retired
Disability
Employer
*
:
Address
*
:
City
*
:
State
*
:
Zip
*
:
Position
*
:
Phone
*
:
Start date
*
:
Years Job
*
:
Months Job
*
:
Years in the same Field
*
:
How Do you get paid?:
- Select One -
Paystubs with W2
Self Employed
1099
Retired
Disability
Employer:
Address:
City:
State:
Zip:
Position:
Phone:
Start date :
Years Job:
Months Job:
Years in the same Field:
If you have less than 2 years in your current employment OR you have two jobs, complete the folloing information:
Employer/Name
Start Date
End Date
$ Hr/Wage
# Hrs/Week
Employer/Name
Start Date
End Date
$ Hr/Wage
# Hrs/Week
V.- CURRENT MONTHLY INCOME
MONTHLY
Base Gross Income
*
Overtime
Bonuses
Commission
Dividend
Profit Net Rent
(property owned)
Other-Child Support-SSI
MONTHLY
Base Gross Income
Overtime
Bonuses
Commission
Dividend
Profit Net Rent
(property owned)
Other-Child Support-SSI
VI.- ASSETS
Escrow/Deposit:
Financial Institutions:
#
Bank Name
Amount
Account #
1
*
2
3
4
Life Insurance
Insurance Name
Life Value
Stocks and Bonds:
#
Stocks Name
Amount
1
2
3
Automobile(s) Owned:
#
Type
Value
1
2
3
Other Assets/401K:
#
Name
Value
1
2
3
VIII.- DECLARATIONS
#
Question
Yes/No
a
Are there any outstanding judgements against you?
*
--
No
Yes
b
Have you been declared bankrupt within the past 7 years?
*
--
No
Yes
c
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
*
--
No
Yes
d
Are you a party to a lawsuit?
*
--
No
Yes
e
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. FL IA or VA case number, if any. and reasons for the action.)
*
--
No
Yes
f
Are you presently delinquent or in delimit on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
*
--
No
Yes
g
Are you obligated to pay alimony, child support, or separate maintenance?
*
--
No
Yes
h
Is any part of the down payment borrowed?
*
--
No
Yes
i
Are you a co-maker or endorser on a note?
*
--
No
Yes
j
Are you a U.S. citizen?
*
--
No
Yes
k
Are you a permanent resident alien?
*
--
No
Yes
l
Do you intend to occupy the property, as your primary residence?
*
--
No
Yes
m
Have you had an ownership interest in a property in the last three years?
*
--
No
Yes
(1) What type of property did you own principal residence (PR), second home (SH) or investment property (IP)?
--
PR
SH
IP
(2) How did you hold title to the home by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
--
S
SP
O
#
Question
Yes/No
a
Are there any outstanding judgments against you?
--
No
Yes
b
Have you been declared bankrupt within the past 7 years?
--
No
Yes
c
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
--
No
Yes
d
Are you a party to a lawsuit?
--
No
Yes
e
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. Fl IA or VA case number, if any. and reasons for the action.)
--
No
Yes
f
Are you presently delinquent or in delimit on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
--
No
Yes
g
Are you obligated to pay alimony, child support, or separate maintenance?
--
No
Yes
h
Is any part of the down payment borrowed?
--
No
Yes
i
Are you a co-maker or endorser on a note?
--
No
Yes
j
Are you a U.S. citizen?
--
No
Yes
k
Are you a permanent resident alien?
--
No
Yes
l
Do you intend to occupy the property, as your primary residence?
--
No
Yes
m
Have you had an ownership interest in a property in the last three years?
--
No
Yes
(1) What type of property did you own—principal residence (PR), second home (SH) or investment property (IP)?
--
PR
SH
IP
(2) How did you hold title to the home— by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
--
S
SP
O
X.- INFORMATION FOR GOVERMENT FOR MONITORING PURPOSES
I do not wish to furnish this information
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Sex:
Select Sex
Male
Female
Marital Status:
Select Marital Status
Married
Separated
Unmarried
I do not wish to furnish this information
Hispanic or Latino
Not Hispanic or Latino
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Sex:
Select Sex
Male
Female
Marital Status:
Select Marital Status
Married
Separated
Unmarried
DOWN PAYMENT ASSISTANCE PROGRAM
How many people live in the house?:
*
What is the total yearly income in the entire household?:
*
Have you paid your rent on time for the past 12 months?:
*
--
I dont pay rent - living with family
No
Yes
Do you have Student Loans?:
*
--
No
Yes
Besides the Borrower and Co-Borrower, who else live in the house:
#
Name
SS#
DOB
Relation
1
2
3
4
How do you hear from us?:
*
Before you can click the Submit button you must click the I'm not a robot checkbox
Submit Application
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