Great Benifits Mortgage

5 Step Application (Step 1 of 5)
Great Benefits Mortgage
What Kind of Loan Are You Looking For?
Loan Type:		If Other, please describe:
Residence:		Property Type:
Payment Term		Number of Units
Est. Loan Amt ($)		Amortization Type
Down Pmt Source		Interest Rate

Property Address				City
State				Zip
Loan Purpose			If Other, please describe
Please Tell Us About Yourself
First Name:		Mi:	Last Name:
Street Address:			City:
State:			Zip Code:		-
Day Phone:	( ) -		Evening Phone:		- -
E-mail Address:			Social Sec. No.:		- -
(Own/Rent):			Yrs at Present Address:
Birth Date:
Mailing address is same as above.
Street Address:			City:
Mail State:			Mail Zip Code:		-
Co-Applicant Information - Complete this section only if you are applying jointly.
Mailing address is same as above.
First Name:		Mi:	Last Name:
Street Address:			City:
State:			Zip Code:		-
Day Phone:	( ) -		Evening Phone:		- -
E-mail Address:			Social Sec. No.:		- -
(Own/Rent):			Yrs at Present Address:
Birth Date: