Form Step 1 Getting Started2 Personal Information3 Coapplicant Personal Information4 Property & Loan5 Your Finances6 VerifyStep 1 of 7: Getting StartedPlease complete the fields below and click "Continue." Read our Applicants' Checklist to find out what you need* Required fieldAbout Your Security and Personal InformationThis form is encrypted and secure. We will not ask for your social security number on this application. We will call you or Email you to obtain your social security number. Your social security number is segregated from our public website. Our processing and underwriting system are also segregated from our public website.You will be given an option to "save and continue" at which point a secure link will be sent to your email that can be used to access and edit this data for up to 30 days.Loan purpose*PurchaseRefinanceLoan type*Select Loan TypeDon't Know30-yr Fixed20-yr Fixed15-yr Fixed7/1 Adjustable5/1 AdjustableHow did you find this form?*Select SourceCurrent CustomerE-mailInternet AdInternet SearchLetter from Stone CreekNewspaperReferralTVI don't rememberHave we worked together before?*YesNoStep 2 of 7: Applicant's Personal InformationFirst Name*Last Name*Date of birth* Primary phone number*Alternate phone number 1Alternate phone number 2When you give us your mobile phone number, we have your permission to contact you at that number. Your consent allows us to contact you using e-mail, text messaging and telephone calls. It may also include contact from companies working on our behalf to service your loan application such as appraisers, etc. You may contact us anytime to change these preferences.E-mail address* Residency status*Select Residency StatusU.S. CitizenNon-permanent ResidentPermanent Resident AlienAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Residential statusSelect Residential StatusOwnRentLiving with FamilyLiving Rent-freeHave you lived here for more than 2 years?*YesNoPrevious address line 1*Previous address line 2City*State*-- Select State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Is your mailing address the same as your current residence?*YesNoMailing address line 1*Mailing address line 2City*State*-- Select State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Employer Name (or other source of income)Employer Address Employer Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Date (Start Date) Please enter start date. Approximate dates are OK.Is this your current employer?Yes, I am currently employed hereNo, I am no longer employedAre you a first-time homebuyer?*YesNoDo you have a coapplicant?*YesNoStep 3 of 7: Co-applicant's Personal InformationFirst name*Last name*Date of birth* Residency status*Select Residency StatusU.S. CitizenNon-permanent ResidentPermanent Resident AlienIs the coapplicant's current address the same as the applicant?*YesNoCurrent Address line 1*Current Address line 2City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Has the coapplicant lived at this address for more than 2 years?*YesNoPrevious Address line 1*Previous Address line 2City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Is the co-applicant a first-time homebuyer?*YesNoStep 4 of 7: Property & Loan InformationWhat is the value of your home ($USD)?*Please enter a value between 40000 and 2000000.How Much do you owe on your first mortgage?*Please enter a value between 40000 and 2000000.Have you selected a home yet?Yes, I have selected a home I wantNo, I want to be pre-qualifiedAddress of Subject Property for Mortgage Application* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is the property attached to another home?*YesNoPurchase price ($USD)*Try to give us an approximate amount of the home you wish to buy, It's OK to estimate.Down payment amount ($USD)*How much do you have for a down payment? It is OK to guess. We can change this later.Annual real estate taxes ($USD)*It's OK to estimate if you don't know the amount. We will update this using county records once we know the address.Annual hazard insurance premium ($USD)*It's OK to estimate if you don't know the amount. We will update this using your insurance quote. You can use $1,200 as a good place to start.Annual flood insurance premium ($USD)Most properties do not need flood insurance unless FEMA designates your property in a flood zone.Do you have a real estate agent?*YesNoRealtor nameRealtor phone numberWhen do you plan on buying a home?*Select Time FrameLess than 30 daysFrom 30 to 60 daysFrom 60 to 90 daysOver 90 DaysDo you have a purchase agreement/contract?*YesNoDo you have a home equity loan, home equity line of credit or any other mortgage loans?*YesNoDo you own any other homes?*Yes, I currently own another home such as a rental or second homeNo, I do not own any other homesStep 5 of 7: About Your FinancesTotal annual income (before taxes) ($USD)*Which bank holds your checking account?*Total cash assets ($USD) Not including retirement*Total Retirement Assets ($USD) OK to Estimate*Please enter a value between 1000 and 10000000.Step 6 of 7: Verify{all_fields}UntitledPost Custom Field This iframe contains the logic required to handle Ajax powered Gravity Forms.
