Signature Mortgage

Application Form

We offer our customers a wide range of products to serve most everyone's needs. We offer fixed, VA, Conventional, Jumbo, and equity lines; loans for purchases, refinances, new construction, commercial loans, and debt consolidation. But here's what really differentiates us from most lenders: the experience of the loan consultant working directly with you.

Application Submission Info: Your Name:
Email:
Phone:
Submit my application to:

** All of above fields are required **

Borrower Information:

Borrower Borrower's Name:
(Include Jr. or Sr. if applicable)

Social Security Number:
Home Phone (incl. area code)
DOB (mm/dd/yyyy)
Yrs. School

Married
Unmarried (single, divorced, widowed)
Separated

Dependents (not listed by Co-Borrower)
No. Ages:
Present Address (street, city, state, ZIP)
Own Rent No. Yrs:
Mailing Address, If different from Present Address

If Residing at present address for less than two years, complete the following:

Former Address (street, city, state, ZIP)
Owned Rented No. Yrs:

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

Social Security Number:
Home Phone (incl. area code)
DOB (mm/dd/yyyy)
Yrs. School

Married
Unmarried (single, divorced, widowed)
Separated

Dependents (not listed by Borrower)
No. Ages:
Present Address (street, city, state, ZIP)
Own Rent No. Yrs
Mailing Address, If different from Present Address

If Residing at present address for less than two years, complete the following:

Former Address (street, city, state, ZIP)
Owned Rented No. Yrs

Employment Information:

Borrower Current Employer
Employer Address (street, city, state, ZIP)
Self Employed
Yrs on this job:
Yrs in this line of work/profession:
Position/Title/Type of Business:
Business Phone (incl. area code):

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

Previous Employer:
Previous Employer Address (street, city, state, ZIP)
Self Employed
Start Date End Date
Monthly Income $
Position/Title/Type of Business:
Business Phone (incl. area code):

Co-Borrower Current Employer
Employer Address (street, city, state, ZIP)
Self Employed
Yrs on this job:
Yrs in this line of work/profession:
Position/Title/Type of Business:
Business Phone (incl. area code):

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

Previous Employer:
Previous Employer Address (street, city, state, ZIP)
Self Employed
Start Date End Date
Monthly Income $
Position/Title/Type of Business:
Business Phone (incl. area code):

Monthly Income and Combined Housing Expense Information

Gross Monthly Income (Base Empl. Income)
Borrower	Co-Borrower	Total

Combined Monthly Housing Expenses		Present $/mo.
Rent		$
First Mortgage (P&I)		$
Other Financing (P&I)		$
Hazard Insurance		$
Real Estate Taxes		$

Assets and Liabilities

List checking and savings accounts below

Bank, S&L, or Credit Union: Address (street, city, state, ZIP)
Bank, S&L, or Credit Union: Address (street, city, state, ZIP)

Stocks and Bonds

Company Name/Number/Description)
Company Name/Number/Description)

Retirement Fund

Vested Interest in retirement fund$

Automobiles owned

Make and Year:
Make and Year:
Make and Year:

Other Assets (itemize)

Other Asset 1
Other Asset 2
Other Asset 3

Declarations

	Borrower	Co-Borrower
a. Are there any outstanding judgments against you?	Yes No	Yes No
b. Have you been declared bankrupt within the past 7 years?	Yes No	Yes No
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?	Yes No	Yes No
d. Are you a party to a lawsuit?	Yes No	Yes No
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?	Yes No	Yes No
f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or guarantee?	Yes No	Yes No
g. Are you obligated to pay alimony, child support, or separate maintenance?	Yes No	Yes No
h. Is any part of the down payment borrowed?	Yes No	Yes No
i. Are you a co-maker or endorser on a note?	Yes No	Yes No

	Borrower	Co-Borrower
j. Are you a U.S. citizen?	Yes No	Yes No
k.Are you a permanent resident alien?	Yes No	Yes No
l. Do you intend to occupy the property as your primary residence? *	Yes No	Yes No
m. Have you had an ownership interest in a property in the last three years?
(1) What type of property did you own?
(2) How did you hold title to the home?

Signature Mortgage