LoanWeb Application Form
1.
Your name:
(Bob, Jane Smith)
2.
*
Your E-mail address:
(example@loanweb.com)
Please send related information about my loan
status and other product news via email.
3.
*
Which mortgage(s) would you like to use?
My 1st mortgage
My 2nd mortgage
My 1st and 2nd mortgage
I would like to obtain a new 1st mortgage
- I own my Home
I would like to obtain a new 2nd mortgage - leave my 1st mortgage alone
4.
*
How much cash would you like to get out of your
home to pay off loans, credit cards or other debt?
$
5.
*
What type of home will you be using?
Primary - Single Family
Primary - Condo
Primary - Mobile Home
Primary - Townhome
2nd Home - Condo
2nd Home - Mobile Home
2nd Home - Single Family
2nd Home - Townhome
Investment - Condo
Investment - Mobile Home
Investment - Single Family
Investment - Townhome
6.
*
When did you purchase it?
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
7.
*
Please estimate your home's current value:
$
8.
*
Which mortgage term are you looking for?
30 Year Fixed
30 Year Adjustable
15 Year Fixed
15 Year Adjustable
FHA
VA
Other
If you own your home free and clear, skip down to question 16.
9.
*
The loan balance on your 1st mortgage is:
$
10.
*
What is your current monthly payment?
$
11.
*
What is your current interest rate?
%
12.
*
Your current mortgage term is:
30 Year Fixed
30 Year Adjustable
15 Year Fixed
15 Year Adjustable
FHA
VA
Other
13.
*
Is your current mortgage a
VA
or
FHA
?
No
VA
FHA
14.
*
Does your mortgage payment include
property taxes and mortgage insurance?
Yes
No
15. If you have a 2nd mortgage, what is the current balance?
$
16. If you have a 2nd mortgage, how much is the monthly payment?
$
The following questions must be answered by all applicants.
17.
*
What is your household's
Gross
Income?
(Include commissions, bonuses & child support.)
$
Monthly
Annually
18.
*
Please list all
Minimum
monthly debt payments
$
(credit cards, car payments, furniture payments and student loan. Do not include mortgage payments if you are selling your home.)
19.
*
Please estimate your credit history:
Excellent
Good, Some Lates
Some Problems
Major Problems
20.
*
Have you had a foreclosure or filed
bankruptcy in the last 7 yrs?
No
< 1 Year
< 2 Years
< 3 Years
< 5 Years
< 6 Years
< 7 Years
21.
*
Do you currently have any tax liens or
judgements against you or your property?
Yes
No
Note:
All
*
fields are required.
1.
*
How long have you been at your current job?
Less than 6 months
6-12 months
1-2 years
More than 2 years
Retired
2.
*
Are you self employed?
No
Yes
3.
*
Your name:
4. Co-borrower:
5.
*
Address:
6 .
*
City:
7.
*
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New York
New Hampshire
New Jersey
New Mexico
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wyoming
Wisconsin
Washington D.C.
8.
*
Zip Code:
9.
*
What is the best time for
Lenders to contact you?
Select
Morning
Afternoon
Evening
10.
*
Please supply your daytime and evening phone numbers below:
*
Daytime phone number:
(
)
-
x
Evening phone number:
(
)
-
11.
*
Select the statement that best describes what you need from our service:
I need a loan - find me a few lenders so that I can compare my options
I am working with another lender but have not locked in my rate yet. I am interested
in seeing other loan programs.
I have already locked in a rate with another lender and I am just researching
other options.
I would like a free life insurance quote.
Note:
All
*
fields are required.
Michael Steenbergen
Copyright © 2000 Web-a-dex Internet Services All rights reserved.
Revised: October 27, 2000 .