Home Equity Loan Application

How Much Can I Borrow?

Estimated Home Value *

Current Mortgage Balance *

Property Type *

Single Family Home

Condominium

Property Use *

Primary

Secondary

Primary residence is the place you live more than 6 months per year; secondary homes are non-rented vacation or second homes; investment homes are generally rentals.

Zip Code *

Personal Information

First Name *

Middle Name

Last Name *

Email *

Enter Phone *

Date of Birth *

Personal Information (cont.)

What is your estimated credit score? *

620 - 659

660 - 679

680 - 719

720+

How much would you like to borrow? *

What is the purpose of your home equity loan? *

Debt Consolidation

Home Improvement

Purchase Another Home

Other

Co-Borrower Information

Will you have a co-borrower? *

Yes

No

If so, please provide information about the co-borrower

Co-Borrower First Name

Co-Borrower Middle Name

Co-Borrower Last Name

Co-Borrower Date of Birth

Marital Information

What is your marital status? *

Married

Unmarried

Separated

Number of Dependants *

Collateral Information

Where is the property you will use as collateral?

Street Address *

Street Address 2

City *

Zip Code

Annual Taxes *

Annual Insurance *

Annual Homeowners Association Fees

Additional Properties Information

Do you own additional properties? *

Yes

No

If so, please fill out the additional properties information below

Property Type

Single Family Home

Condiminum

Multi Family Home

Modular Home

Primary residence is the place you live more than 6 months per year; secondary homes are non-rented vacation or second homes; investment homes are generally rentals.

Property Use

Primary

Secondary

Investment

Primary residence is the place you live more than 6 months per year; secondary homes are non-rented vacation or second homes; investment homes are generally rentals.

Income Information

What is your income source? *

Employed by a Company

Self-Employed

Pension or Retirement

Other Income Source

If applicable, tell us about your income and employment

Company Name

Street Address

Street Address 2

City

Zip Code

Start Date

Monthly Base Pay

Additional Income Sources

Monthly Overtime

Overtime can be included in your income if it has been consistent over a two-year period

Monthly Commission

Commissions can be included in your income if it has been consistent over a two-year period

Monthly Bonus

Bonuses can be included in your income if it has been consistent over a two-year period

If applicable, tell us about your retirement income

Monthly Retirement Income

Borrower Questions

Are there any outstanding judgements against you? *

Yes

No

Have you declared bankruptcy in the last seven years? *

No

Chapter 7

Chapter 13

If applicable, how long since discharge?

Have you been foreclosed upon or given title or deed in lieu thereof in the last seven years? *

Yes

No

If applicable, when was it completed?

Are you party to a lawsuit? *

Yes

No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment? *

Yes

No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? *

Yes

No

Are you obligated to pay alimony, child support, or separate maintenance? *

Yes

No

if applicable, how much child support per month?

if applicable, how much alimony per month?

Is any part of your down payment borrowed? *

Yes

No

Are you a comaker or endorser on a note? *

Yes

No

Are you a US Citizen or permanent resident alien? *

US citizen

Permanent resident alien

No

Do you intend to occupy the property as your primary residence? *

Yes

No

If you answered yes to the above, have you had ownership interest in a property in the last three years?

Yes

No

If you answered yes to the above, please give us more details

Co-Borrower Questions (if applicable)

Are there any outstanding judgements against you?

Yes

No

Have you declared bankruptcy in the last seven years?

No

Chapter 7

Chapter 13

If applicable, how long since discharge?

Have you been foreclosed upon or given title or deed in lieu thereof in the last seven years?

Yes

No

If applicable, when was it completed?

Are you party to a lawsuit?

Yes

No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment?

Yes

No

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? *

Yes

No

Are you obligated to pay alimony, child support, or separate maintenance? *

Yes

No

if applicable, how much child support per month?

if applicable, how much alimony per month?

Is any part of your down payment borrowed?

Yes

No

Are you a comaker or endorser on a note?

Yes

No

Are you a US Citizen or permanent resident alien?

US citizen

Permanent resident alien

No

Do you intend to occupy the property as your primary residence?

Yes

No

If you answered yes to the above, have you had ownership interest in a property in the last three years?

Yes

No

If you answered yes to the above, please give us more details

Schedule an Appointment (optional)

If you would like a loan officer to contact you, please provide a date and time that works best for you.

Thank you for your Home Equity Application.