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  Phone Banking: (563) 823-0011, (877) 321-4347 Thursday, March 11, 2010 - 8:17 PM (C.S.T)  

Mortgage Application

Borrower

First Name Middle Name Last Name
Social Security Date of Birth Home Phone
Marrital Status Dependents
Present Address Own/Rent # of years
Name and Address of Employer Self Employed? # of years
Monthly Income Position/Title/Type of Business Business Phone (w/ area code)
Notice: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered for repaying this loan.
Other income(monthly) Describe the other income


Co-Borrower

First Name Middle Name Last Name
Social Security Date of Birth Home Phone
Marrital Status Dependents
Present Address Own/Rent # of years
Name and Address of Employer Self Employed? # of years
Monthly Income Position/Title/Type of Business Business Phone (w/ area code)
Notice: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered for repaying this loan.
Other income(monthly) Describe the other income


General Questions

What price range of home would you like to purchase?

 

through
How much money would you like to spend out of your personal resources for a home?
What is the maximum monthly house payment you would like to have?
Are you currently working with a realtor? May we contact about your qualifications?
 
Realtor Name: Realtor Company:
May we obtain a credit report for the purpose of assisting you in this transaction?
 
Where and when is the best place and time to contact you?


Phone:

Time:
May we e-mail you at home or work?
 
Email Address:


List checking and savings account (both Borrower and Co-Borrower below)

Name and address of bank, savings & loan, or credit union
Account Number
Amount in dollars
Name and address of bank, savings & loan, or credit union
Account Number
Amount in dollars
Name and address of bank, savings & loan, or credit union
Account Number
Amount in dollars
Other funds available for closing (ie. gift, etc...)


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 and equal credit opportunity, fair housing and mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish race, ethnicity or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
 

Borrower
Ethnicity:
Race:
Sex:
 

Co-Borrower
Ethnicity:
Race:
Sex:
 
**THE National Bank does not endorse or guarantee the products, information or recommendations provided by linked sites and is not liable for any failure of products or services advertised on those sites.  Third party sites may have a privacy policy different than that of THE National Bank and may provide less security  than that which is provided by THE National Bank.
 
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THE National Bank
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