Short Application

Our short application is an easy and fast way to request a mortgage. Please provide the following information.

PERSONAL INFORMATION
Name *
Name
Phone *
Phone
Current Address *
Current Address
US Citizen
INCOME & ASSETS
$
$
$
$
$
$
$
Separate by commas
SUBJECT PROPERTY
$
$
$
Subject Property Address *
Subject Property Address
DEMOGRAPHIC INFORMATION
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information but are encouraged to do so. You may select one or more designations for "ethnicity" and one or more designations for "Race." THE LAW PROVIDES THAT WE may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname.The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
Ethnicity - Check one or more *
Sex
PRIVACY POLICY
We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency. We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law.
CO-BORROWER
Do you have a co-borrower?
If yes, what is their name?
If yes, what is their name?
Please have your co-borrower submit their own copy of this form for consideration along with this one.