Great Benifits Mortgage

Great Benefits Mortgage

* Indicates Required Fields

What Kind of Loan Are You Looking For?

Type of loan:

Residence type:

Property type:

Number of units:

Length of loan desired:

Sales prirce or home value:

Estimated loan amount:($)*

Please Tell Us About Yourself

Applicant First Name:*

Mi:

Last Name:*

Social Security:

- -

Education:

Birthday:

- -

E-mail:*

Home Phone:*

- -

Work Phone:

- -

Co-Applicant First Name:

Mi:

Last Name:

Social Security:

- -

Education:

Birthday:

- -

E-mail:

Home Phone:

- -

Work Phone:

- -

Current Address:

State:

City:

Zip:

Length of time at address:

Years

Months

Mailing Address (Same as above):

Current Address:

State:

City:

Zip:

Employment Information

Applicant Employer:

Years on Job:

Position:

Monthly Income:

Co-Applicant Employer:

Years on Job:

Position:

Monthly Income:

Other Income Applicant:

Monthly Income:

Other Income Applicant:

Monthly Income:

Your Assets

Cash Deposit (Type):

Amount:($)

Cash Deposit (Type):

Amount:($)

Financial Institution:

Amount:($)

Account Number:

Financial Institution:

Amount:($)

Account Number:

Stocks & Bonds: (1)

Amount:($)

Stocks & Bonds: (2)

Amount:($)

Stocks & Bonds: (3)

Amount:($)

Life Insurance:

Face Amount:($)

Automobile Type:

Est. Value:($)

Automobile Type:

Est. Value:($)

Automobile Type:

Est. Value:($)

Other Assets:

Amount:($)

Other Assets:

Amount:($)

Other Assets:

Amount:($)

Other Assets:

Amount:($)

Please Describe Your Housing Expenses

1st Mortgage:($)

2nd Mortgage:($)

Property Taxes:($)

Home Owners Ins.:($)

Mortgage Insurance:($)

Total Housing Expenses:($)

Aprx. 1st Mtg. Balance ($):

Aprx. 2nd Mtg. Balance ($):

Max Line of Credit ($):

Aprx. Home Value ($):

Home is to be:

Please list your Monthly Debts

Type of Liability:

Account #:

Current Balance:($)

Monthly Payment:($)

Type of Liability:

Account #:

Current Balance:($)

Monthly Payment:($)

Type of Liability:

Account #:

Current Balance:($)

Monthly Payment:($)

Type of Liability:

Account #:

Current Balance:($)

Monthly Payment:($)

Type of Liability:

Account #:

Current Balance:($)

Monthly Payment:($)

Projected date of closing & Comments

Projected date of closing would be:

Around:

Prefer contact by:

Comments:

How did you hear about us?