Income : I will document my income. I will state my income

FIRST NAME*:
MIDDLE NAME/INITIAL*:
LAST NAME*:
SOCIAL SECURITY*:
DATE OF BIRTH*:
ADDRESS*:
YEARS AT  THIS ADDRESS:	Yr.
CITY*:
STATE*:	Select State 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP CODE*:
HOME PHONE*:
MAILING ADDRESS:    (if different)
if at current address less than 2 years
PREVIOUS ADDRESS:
YEARS AT THIS ADDRESS:	Yr.
CITY:
STATE:	Select State 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP CODE:
Relation to Borrower: Spouse Other    Co-Borrower Information
FIRST NAME:
MIDDLE NAME/INITIAL:
LAST NAME:
SOCIAL SECURITY:
DATE OF BIRTH:
ADDRESS:
YEARS ON THIS ADDRESS:	Yr.
CITY:
STATE:	Select State 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP CODE:
HOME PHONE:

The property will be used as a:   
Primary Residence Secondary Home Investment Property   

I expect to buy a home...

between $  and $ 

I am eligible for VA benefits   
I have available for a down payment $    

Employment
Borrower
Employment Type:	Please Select Employed Self Employed Not Employed
Gross Monthly Base Income	$
Overtime Income	$
Commission Income	$
Other Income	$
Co-Borrower
Employment Type:	Please Select Employed Self Employed Not Employed
Gross Monthly Base Income	$
Overtime Income	$
Commission Income	$
Other Income	$

By submitting this on-line application, I/We authorize this lender to check such things as my/our credit, business and employment status and histories. Submitting the application does not lock your loan.