New Pre-Application Form

Purchase A New Home

Refinance Your Existing Home

Second Mortgages

Let us help you find the best rates and
recommend a loan. Apply online for your
new mortgage.

Refinance your mortgage to reduce your payments and save money. Even a small rate reduction can be significant.

Consolidate your debts with a second mortgage into one easy, lower monthly payment or borrow money for any reason.

Apply online		Apply by Phone
	Start a brief application online and a personal loan officer will contact you to help you through the process.	Have one of our loan officers find the right product for you.		Get a call back within 15 minutes

New Pre-Application Form

Section 1: Loan Information
Please fill out all fields to the right and click the Next button when you have completed this form.	Amount Requested $		In fields marked with this star please input currency or percentages without the dollar sign ($) or the percent sign (%).
	Type of Loan:
	Loan Program Requested:
	Occupancy Type:

Section 2: Property Information
	Estimated Present Value $
	Year Purchased:
	Purchase Price $
	This is a required field Property State:	Why my state is not in the list ?
	Property Type:

If Considering a Purchase, Skip this Section
	First Mortgage Type:
	First Mortgage Current Rate %
	First Mortgage Balance $
	Second Mortgage Current Rate %
	Second Mortgage Balance $

	Section 3:
		Borrower Information	Co Borrower Information

First Name:		First Name:
Middle Name:		Middle Name:
Last Name:		Last Name:
Generation(Jr.,Sr.,III):		Generation(Jr.,Sr.,III):
Date of Birth:	/ /	Date of Birth:	/ /
Social Security Number:		Social Security Number:
Address 1:		Address 1:
Address 2:		Address 2:
City:		City:
State:	Zip Code	State:	Zip Code
Home Phone:		Home Phone:
Fax Number :		Fax Number :
Email Address:		Email Address:
How shall we contact you?:		How shall we contact you?

Section 4:

Borrower Employment Information

Co-Borrower Employment Information

Employers Name:		Employers Name:
Employment Position:		Employment Position:
Years Employed:	Months:	Years Employed:	Months:
Work Phone:		Work Phone:
Monthly Income $		Monthly Income $
Self Employed:	No Yes	Self Employed:	No Yes

Credit History

		Total Credit Card Debt:	Payoff ? Yes No
		Total Auto Debt:	Payoff ?Yes No
		Personal Debt:	Payoff ?Yes No
		Mortgage History:
		Revolving Debt / Installment History:
		Have you had a Foreclosure or Bankruptcy in the past 7 years?

Section 5: Information for Government Monitoring Purposes
The following information is requested by the Federal Government for certain types of loans related to a dwelling, in order 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 a Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish this information, please choose the appropriate selection from the dropdown box.

	Borrower: Race or National Origin	CoBorrower: Race or National Origin

	If Other, please describe:	If Other, please describe:

	Gender	Gender

		Please read carefully before proceeding!
		*Please choose the appropriate choices below and then press the Finished button. If you choose "My Pre-Application IS Complete", The Mortgage Shop will begin to process your loan immediately. If you choose "My Pre-Application IS NOT Complete", you will be able to log back into your pre-application at a later time and make changes to your entries.
		My Pre-Application:		How did you hear about us?

				* By submitting this pre-application you authorize The Mortgage Shop to access your credit report.

		In fields marked with this star please input currency or percentages without the dollar sign ($) or the percent sign (%)

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