Test Page | Equity One Financial

TYPE OF MORTGAGE FINANCING AND PURPOSE

Amount *

Interest Rate *

Number of Years *

Property Information

Subject Property Address (If address is unknown please enter your current address) *

Subject Property Address (If address is unknown please enter your current address)

City

State/Province

Zip/Postal

Purpose of Loan: *

Primary Residence

Secondary Residence (Vacation Home)

Investment

Borrower & Co-Borrower Information

Borrower's Name (include Jr. or Sr. if applicable) *

Co-Borrower's Name (include Jr. or Sr. if applicable)

Borrower Social Security # *

Co-Borrower Social Security #

Borrower Date of Birth *

Co-Borrower Date of Birth

Borrower's Current Citizenship Status

US Citizen

Permanent Resident Alien

Non-Permanent Resident Alien

Foreign National

Co-Borrower's Current Citizenship Status

US Citizen

Permanent Resident Alien

Non-Permanent Resident Alien

Foreign National

Borrower's Current Address *

Borrower's Current Address

City

State/Province

Zip/Postal

Co-Borrower's Current Address

City

State/Province

Zip/Postal

How long Borrower lived at address? *

How long Co-Borrower lived at address?

Borrower *

Own

Rent

Co-Borrower

Own

Rent

Borrower Number of Dependents

Co-Borrower Number of Dependents

Borrower Age(s) of Dependents (separate with commas)

Co-Borrower Age(s) of Dependents (separate with commas)

Borrower Home Phone (include area code) *

Co-Borrower Home Phone (include area code)

Borrower Email Address

Co-Borrower Email Address

Click to open to add more addresses if you have been at your current address less than 2 years

Borrower's Current Address *

Borrower's Current Address

City

State/Province

Zip/Postal

Co-Borrower's Current Address

City

State/Province

Zip/Postal

How long Borrower lived at address? *

How long Co-Borrower lived at address?

Borrower's Current Address *

Borrower's Current Address

City

State/Province

Zip/Postal

Co-Borrower's Current Address

City

State/Province

Zip/Postal

How long Borrower lived at address? *

How long Co-Borrower lived at address?

Borrower & Co-Borrower Employement Information

Borrower's Name & Address of Employer *

Co-Borrower's Name & Address of Employer

Borrower's Employer's Address *

Borrower's Employer's Address

City

State/Province

Zip/Postal

Co-Borrower's Employers Address

City

State/Province

Zip/Postal

Borrower Self-employed *

Yes

Co-Borrower Self-employed

Yes

Borrower Years on Job *

Co-Borrower Years on Job

Borrower Years Same line of work *

Co-Borrower Years Same line of work

Borrower's Position/Title/Type of Business *

Co-Borrower's Position/Title/Type of Business

Borrower's Business Phone (include area code) *

Co-Borrower's Business Phone (include area code)

If employed in current position for less than two years or if currently employed in more than one position, complete the following employment section otherwise continue down to the Income & Combined Housing Expenses section.

Click to open to add more employer information

Borrower & Co-Borrower Employment Information

Complete this section if previous job is under two years or you have an additions job.

Borrower's Name & Address of Employer

Co-Borrower's Name & Address of Employer

Borrower's Employers Address

City

State/Province

Zip/Postal

Co-Borrower's Employers Address

City

State/Province

Zip/Postal

Borrower Self-employed

Yes

Co-Borrower Self-employed

Yes

Borrower's Dates (from - to)

Co-Borrower's Dates (from-to)

Borrower's Business Phone (include area code)

Co-Borrower's Business Phone (include area code)

Borrower & Co-Borrower Employement Information

Borrower's Name & Address of Employer

Co-Borrower's Name & Address of Employer

Borrower's Employers Address

City

State/Province

Zip/Postal

Co-Borrower's Employers Address

City

State/Province

Zip/Postal

Borrower Self-employed

Yes

Co-Borrower Self-employed

Yes

Borrower's Dates (from - to)

Co-Borrower's Dates (from-to)

Borrower's Position or Title and Type of Business

Co-Borrower's Position or Title and Type of Business

Borrower's Business Phone (include area code)

Co-Borrower's Business Phone (include area code)

Income & Combined Housing Expenses

Gross Monthly Income

Borrower's Gross Monthly Income (before taxes): *

Co-Borrower's Gross Monthly Income (before taxes):

Borrower's Standard Overtime

Co-Borrower's Standard Overtime

Borrower's Standard Commissions & Dividends/Interest:

Co-Borrower's Standard Commissions & Dividends/Interest:

Borrower's Total Monthly Pay

Total from the above fields will display here.

Co-Borrower's Total Monthly Pay

Total from the above fields will display here.

Combine Monthly Housing Expenses

Rent

First Mortgage (P&I)

Other Financing (P&I)

Hazard Insurance

Real Estate Taxes

Mortgage Insurance

HOA Dues

Other

Total Monthly Combined Housing Expenses

Total from the above fields will display here.

Declarations

Borrower - Are there any outstanding judgments against you? *

Yes

Co-Borrower - Are there any outstanding judgments against you?

Yes

Borrower - Have you declared bankruptcy in the past 7 years? *

Yes

Co-Borrower - Have you declared bankruptcy in the past 7 years?

Yes

Borrower - Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? *

Yes

Co-Borrower - Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes

Borrower - Are you a party to a lawsuit? *

Yes

Co-Borrower - Are you a party to a lawsuit?

Yes

Borrower - Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment? Including: SBA loans, home improvement loans, educational loans, mobile home loans, etc. *

Yes

Co-Borrower - Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure or judgment? Including: SBA loans, home improvement loans, educational loans, mobile home loans, etc.

Yes

Borrower - Are you presently delinquent or in default on any Federal debt or any other loan or guarantee? *

Yes

Co-Borrower - Are you presently delinquent or in default on any Federal debt or any other loan or guarantee?

Yes

Borrower - Are you obligated to pay alimony, child support or separate maintenance? *

Yes

Co-Borrower - Are you obligated to pay alimony, child support or separate maintenance?

Yes

Borrower - Is any part of the down payment borrowed? *

Yes

Co-Borrower - Is any part of the down payment borrowed?

Yes

Borrower - Are you a co-maker or endorser on a note? *

Yes

Co-Borrower - Are you a co-maker or endorser on a note?

Yes

Borrower - Are you a US citizen? *

Yes

Co-Borrower - Are you a US citizen?

Yes

Borrower - Are you a co-maker or endorser on a note? *

Yes

Co-Borrower - Are you a co-maker or endorser on a note?

Yes

Borrower - Are you a permanent resident alien? *

Yes

Co-Borrower - Are you a permanent resident alien?

Yes

Borrower - Do you intend to occupy the property as your primary residence? *

Yes

Co-Borrower - Do you intend to occupy the property as your primary residence?

Yes

Borrower - Have you had an ownership interest in property in the Last three years? *

Yes

Co-Borrower - Have you had an ownership interest in property in the Last three years?

Yes

Borrower Signature Authorization

Privacy Act Notice:This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under
its program. It will not be disclosed outside the agency except as required and permitted by law. You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA); by 42 USC, Section 1452b (if HUD/CPD); and Title 42 USC, 1471 et. seq., or 7 USC, 1921 et. seq. (if USDA/FmHA).

PART 1 - GENERAL INFORMATION

Borrower

First Name

Last Name

Co-Borrower

First Name

Last Name

Name and Address of Lender/Broker

Ejquity One Financial, Inc.
2911 Winchester Dr, Unit D
Valparaiso, IN 46383
TEL: 219-714-3020 FAX: 760-683-2269

Date

PART 2 - BORROWER AUTHORIZATION

I hereby authorize the Lender/Broker to verify my past and present employment earnings records, bank accounts, stock holdings, and any other asset balances that are needed to process my mortgage loan application. I further authorize the Lender/Broker to order a consumer credit report and verify other credit information, including past and present mortgage and landlord references. It is understood that a copy of this form will also serve as authorization.

The information the Lender/Broker obtains is only to be used in the processing of my application for a mortgage loan

Borrower Signature

Clear

Date

Borrower Signature

Clear

Date

By Submitting this application, you are authorizing Equity One Financial, Inc. to pull your credit for the purposes of qualification for a home mortgage loan. * After Submitting you loan request, please make a note of the Confirmation Number verifying successful transmission. (can we set up an email confirmation to me & the borrower upon submission?)

By submitting this form (or application), you also consent to receive SMS and email messages from Equity One Financial, Inc.

Click HERE (opens in a new tab) to review our Privacy Policy should you have any questions before submitting this application.

If you are human, leave this field blank.