Changing the way consumers view home loans
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888.638.5030

For More Information Call

888.638.5030

Complete Application

“If you do not know the answer to any of the follow questions, please feel free to leave your response blank.”

1. Basic Loan Information

2. Property Information and Purpose of Loan

Only Complete the three items below if this is a Construction, Construction-Permanent Loan

(Purpose of Loan Section 2 above)

Only Complete the two items below if this is a Refinance Loan

(Purpose of Loan Section 2 above)

3. Borrower Information

 You may check my credit report at this time

Present Address

Mailing Address

 Check here if same as Present Address

Former Address

(Complete the following if at present address less than two years)

3b. Co-Borrower Information

 You may check my credit report at this time

Present Address

Mailing Address

 Check here if same as Present Address

Former Address

(Complete the following if at present address less than two years)

4. Employment Information

Current Employer

Borrower

Co-Borrower

Previous Employment

If employed in current position less than two years or if currently employed in more than one position, please complete the following:

Borrower

Co-BorrowerFormer

5. Monthly Income and Combined Housing Expense Information

Gross Monthly Income
Borrower
Co-borrower

Describe Other Income

Notice: Alimony, child support, or separate maintenance need not be revealed if you do not Choose to have it considered for repayment of this loan.

Owner
Description
Monthly Amount
#1
#2
#3
Combined Monthly
Housing Expense
Where You Live Now
Proposed Loan

6. Assets

This statement and any applicable supporting schedules may be completed jointly by both married and unmarried co-borrowers if their assets and liabilities are sufficiently joined so that the statement can be meaningfully and fairly presented on a combined basis; otherwise, separate statements and schedules are required. If the co-borrower section was completed about a spouse, this statement and supporting schedules must be completed about the spouse also.

List assets, including checking and savings accounts below.

Schedule of Real Estate Owned

List Any Remaining Properties

7. Declarations

Items
Borrower
Co-Borrower

1. What type of property did you own?

2. How did you hold title to the home?

If you answered yes to any questions A through I above, explain in the box below.

8.Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that Efinity Mortgage may not discriminate on the basis of this information, nor on whether you Choose to furnish it. If you do not want to furnish this information, select the box below.

Borrower

 I do not wish to furnish this information

Co Borrower

 I do not wish to furnish this information