Interactive Loan Application

BASIC INFORMATION

Your Full Name:

Your Email Address:

Your Street Address:

City:

State:

ZIP Code:

ABOUT YOUR PROPERTY

In which state is the property located? ARIZONA CALIFORNIA HAWAII ORGEGON NEVADA WASHINGTON

1. Who do you bank with? Wells Fargo Bank of America Citibank Washington Mutual Chase Manhatten Greenpoint

2. Home Description Single-family detached home Town home Condominium Cooperative Multiple-family dwelling
3. For what purpose do you use this property? Primary residence Second home / vacation property Investment property
4. What year did you purchase the property?
2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
5. What would you sell you home for today?
Please enter the estimated property value You must enter a number in this field (no punctuation) $.00
Example: 100000

ABOUT YOUR LOAN
6. What is the balance owed on your first mortgage?
Please enter your current mortgage balance. You must enter a number in this field (no punctuation) $.00
Example: 100000 7. What is the total amount you are applying for?
Please enter your total loan requirments. You must enter a number in this field (no punctuation) $.00
Example: 100000
8. What type of loan are you applying for? Conventional FHA VA Other
9. What is the prefered term of the loan? 10 15 20 30

PERSONAL INFORMATION
10. What is your employment status? Employed Self-employed Retired Not employed
11. What is your annual income?
$ 30000 40000 50000 60000 70000 80000 90000 100000 110000 120000 125000 +
12. Have you declared bankruptcy in the last 7 years? Never/Not in the last 7 years Less than 12 months ago 1 - 2 years ago
13. How would you describe your credit rating? POOR EXCELLENT SOME PROBLEMS

COMMENTS: