Mortgage Application

What type of loan are you interested in? *

Purchase

Rate & Term Refinance

Cash-Out Refinance

Length of loan term desired? *

40 Years 30 Years 15 Years 10 Years Less than 10

Do you want a fixed rate or an adjustable rate mortgage?*

Fixed Adjustable Rate

What is your desired loan amount? ($) *

Please rate your credit: *

Excellent

Good

Fair

Poor

Type of Property: *

Single Family Residence Condo Co-Op

Property usage: *

Owner Occupied Second Home Investment

State where property is located: *

Maryland Virginia

Estimated value of the property: ($) *

How long have you owned this property? *

less than 1 year 2-5 years more than 5 years

Amount owed:

Is there subordinate financing (another loan on the property)?

Yes

No

Your current interest rate: (%)

Is this a fixed or an adjustable rate?

Fixed Rate Adjustable Rate

How long have you had this loan?

less than 1 year 2-5 years more than 5 years

What is your current monthly payment?($)

Have you ever been late on your payment?

Yes

No

Borrower’s First Name *

Middle Name *

Borrower’s Last Name *

Email address *

Street address *

City *

State *

Zip *

Daytime Phone Number *

Evening Phone Number *

Co-Borrower’s First Name *

Middle Name *

Co-Borrower’s Last Name *

Email address *

Street address *

City *

State *

Zip *

Daytime Phone Number *

Evening Phone Number *

Total Household Monthly Income (Gross) ($) *

Total Household Monthly Debt (other than mortgage) ($) *