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Complete Loan Application

Fields with a background are required.
How did you hear about us?
Are you in contact with a Loan Officer?
If yes, choose name:

   Type of Mortgage and Term of Loan
Loan type applying for   Conventional  FHA  VA
Amortization type
Loan amount applying for $
Purpose of loan  
Purchase Refinance Construction
Cash Out Home Equity Other

   Property Information and Location Information
Property Address:  
Street
City
State
Zip Code
Number of units
Year of build
Property will be used as  
Primary Residence Secondary Residence Investment

   Borrower's (Co-Borrower's) Name, Present Address and Contact Information
Is there a co-borrower? Yes    No
Co-Borrower fields are required only if there is a co-borrower.
  Borrower Co-Borrower
First name
Middle initial
Last name
Street
City
State
Zip
Work phone  e.g. 415-123-4556
Home phone e.g. 415-123-4556
Cell phone e.g. 415-123-4556
Email address 
Confirm your email address
Do you own the house? Yes    No Yes    No
Number of years at the address
Marital Status

   Employment Information
  Borrower Employment Co-Borrower Employment
Employer name
Street address
City
State
Zip
Work phone
Position / Title
Business type
Self-Employed? Yes    No Yes    No
Years on job
Years in profession

   Income Information
  Borrower Co-Borrower Total
Base Employment Income
Overtime
Bonus
Commission Income
Dividends / Interest
Net Rental Income
Total Income

   Credit Information
  Borrower Co-Borrower
Are there any judgements against you? Yes    No Yes    No
Have you been declared bankrupt within the past 7 years? Yes    No Yes    No
Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years? Yes    No Yes    No
Are you a party to a lawsuit? Yes    No Yes    No
Are you obligated to pay alimony, child support, or separate maintenance? Yes    No Yes    No
Is any part of the down payment borrowed? Yes    No Yes    No
Are you a co-maker or endorser on a note? Yes    No Yes    No
Are you a U.S. citizen? Yes    No Yes    No
Are you a permanent resident alien? Yes    No Yes    No
Do you intend to occupy the property as your primary residence?

 Yes    No Yes    No
If "Yes," have you had an ownership interest in a property in the last 3 years?

 Yes    No Yes    No
(1) What type of property did you own-principal residence (PR), second home (SH), or investment property (IP)?

(2) How did you hold title to the home-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Social Security Number
Have you directly or indirectly been obligated on any loan, which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?

 Yes    No Yes    No
This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgages, financial obligation, bond, or loan guarantee. If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box below.
Are you presently delinquent of in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?

 Yes    No Yes    No

If "yes" provide details, name and address of the Lender, FHA or VA case number, if any, and reasons of action in the text box below.

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11176 North Main Street, , Cincinnati, Ohio, 45241
Tel: 513.956.4040, 859-647-6000

 
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