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Secure Loan Application

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Application

Borrower Information

* First Name

Middle Name

* Last Name

Suffix

* Home Phone

Work Phone

Cell Phone

* Social Security Number

* Email Address

* Date Of Birth

* Age

* Own/Rent

Marital Status

Co-Borrower Information

* First Name

Middle Name

* Last Name

Suffix

* Home Phone

Work Phone

Cell Phone

* Social Security Number

* Email Address

* Date Of Birth

* Age

* Own/Rent

Marital Status

Address

Borrower Current Address

* Address

* City

* State

* Zipcode

* Current Housing Payment

* Time at this address (Years)

* Time at this address (Months)

Previous address (if current is less than 2 yrs)

Address

City

State

Zipcode

Previous Payment

Time at this address (Years)

Time at this address (Months)

Co-Borrower Current Address

* Address

* City

* State

* Zipcode

* Current Housing Payment

* Time at this address (Years)

* Time at this address (Months)

Previous address (if current is less than 2 yrs)

Address

City

State

Zipcode

Previous Payment

Time at this address (Years)

Time at this address (Months)

Employment

Borrower Employment Information

* Employer Name

* Address

* City

* State

* Zipcode

* Position

* Job Length Years

* Job Length Months

* Years in Same Field

* Monthly Income

If at job less than two years, complete below

Employer Name

Address

City

State

Zipcode

Position

Job Length From:

Job Length To:

Previous Monthly Income:

Co-Borrower Employment Information

* Employer Name

* Address

* City

* State

* Zipcode

* Position

* Job Length Years

* Job Length Months

* Years in Same Field

* Monthly Income

If at job less than two years, complete below

Employer Name

Address

City

State

Zipcode

Position

Job Length From:

Job Length To:

Previous Monthly Income:

Finances

Financial Institution	Amount


Stocks and Bonds	Amount



Other Assets	Amount

Declarations

Questions	Borrower	Co-Borrower
a. * Are there any outstanding judgments against you?
b. * Have you been declared bankrupt within the past 7 years?
c. * Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
d. * Are you a party to a lawsuit?
e. * Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu of foreclosure, or judgment?
f. * Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, finiancial obligation, bond, or loan guarantee?
g. * Are you obligated to pay alimony child support or separate maintenance?
h. * Is any part of the down payment borrowed?
i. * Are you a co-maker or endorser on a note?
j. * Are you a U.S. citizen or permanent resident alien?
l. * Do you intend to occupy the property as your primary residence?
m. * Have you had an ownership interest in a property in the last three years? If Yes, answer questions below.
m. (1) What type of property did you own?
m. (2) How did you hold title to the property?

Additional

Additional Information

* Referred By

Best time to contact me

Comments

Best date to contact me

How do you want us to contact you?

Finish

Authorization Agreement

CREDIT REPORT AUTHORIZATION FORM

I authorize New City Mortgage. LLC Services and/or assigns to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be the equivalent of the original.

CHECKING THE BOX BELOW GRANTS PERMISSION FOR THE RELEASE OF FINANCIAL INFORMATION TO THE CREDIT REPORTING AGENCY AND GRANTS PERMISSION FOR New City Mortgage. LLC TO OBTAIN A COPY OF YOUR CREDIT REPORT.

* I Agree

Version 1.1.0.5