×
Homes Available

Home Ownership Application

How did you hear about us?

Client (Primary Applicant)

Name: First: Middle: Last:

Social Security Number: Birthdate (MM/DD/YYYY):

Street Address:
City: State: Zip:

Primary Phone: Secondary Phone:
Email:

Total Annual Household Income:

Race: Education: Immigrant Status:

Marital Status: Military Status: VeteranActive MilitaryNeither Disabled:
Current Housing Arrangement:
Have you owned a home in the last three years?
Family/Household size: Ages in Household (Please separate with commas):

Present Employer

Name: Title:
Hire Date: Phone :
Gross Monthly Income (before taxes): $ Hours Worked per Week:

Previous Employer (if at current employer less than 2 years)

Name: Title:
Hire Date: Phone :
Gross Monthly Income(before taxes): $ Hours Worked per Week:

Co-Applicant

Name: First: Middle: Last:

Social Security Number: Birthdate (MM/DD/YYYY):

Street Address:
City: State: Zip:

Primary Phone: Secondary Phone:
Email:

Total Annual Household Income:

Race: Education: Immigrant Status:
Marital Status: Military Status: VeteranActive MilitaryNeither Disabled:

Current Housing Arrangement: Have you owned a home in the last three years?

Family/Household size: Ages in Household (Please separate with commas):

Relationship to Applicant:

Present Employer

Name: Title:
Hire Date: Phone :
Gross Monthly Income(before taxes): $ Hours Worked per Week:

Previous Employer (if at current employer less than 2 years)

Name: Title:
Hire Date: Phone:
Gross Monthly Income(before taxes): $ Hours Worked per Week:

Landlord

Name:

Address:

City: State: Zip:

Phone: Length of Residence:

Monthly Rent Payment:

Previous Landlord

Name:

Address:

City: State: Zip:

Phone: Length of Residence:

Monthly Rent Payment:

Household Other Income

Alimony/Child Support - Applicant: Co-Applicant:

Pension Income - Applicant: Co-Applicant:

Dependent SSI Income - Applicant: Co-Applicant

Disability Income - Applicant: Co-Applicant:

Other Income - Applicant: Co-Applicant:

Please list all household automobiles (estimated values):

Make - Applicant: Co-Applicant:

Model - Applicant: Co-Applicant:

Estimated Value - Applicant: Co-Applicant:

Make - Applicant: Co-Applicant:

Model - Applicant: Co-Applicant:

Estimated Value - Applicant: Co-Applicant:

Please list at least Two (2) references:

Name: Relationship:

Address: City/State/Zip: Phone:

Name: Relationship:

Address: City/State/Zip: Phone:

Have you had a Chapter 7 bankruptcy?

If Yes, Who?

Household Checking & Savings Accounts

Please list the approximate values of the following (Include all banks and credit unions):

Applicant Checking #1
Bank Name: Account Number: Balance:

Applicant Checking #2
Bank Name: Account Number: Balance:

Applicant Savings #1
Bank Name: Account Number: Balance:

Applicant Savings #2
Bank Name: Account Number: Balance:

Co-Applicant Checking #1
Bank Name: Account Number: Balance:

Co-Applicant Checking #2
Bank Name: Account Number: Balance:

Co-Applicant Savings #1
Bank Name: Account Number: Balance:

Co-Applicant Savings #2
Bank Name: Account Number: Balance:

AUTHORITY TO VERIFY CREDIT

This is your authority to verify my bank accounts, employment, and outstanding debt, including any present or previous mortgages, to order a consumer credit report, and to make any other inquiries pertaining to my qualification for a mortgage loan. You may make copies of this letter for distribution to any party with whom I have a financial or credit relationship and that party may treat such copy as an original. This further gives you authority to obtain a copy of my HUD-1 Settlement Statement from the Title Company, mortgage lender or myself.

PRIVACY ACT NOTICE: This information is to be used by the agency collecting it or its assignees in determining whether you qualify as a prospective mortgagor under its program. It will not be disclosed outside the agency except as required and permitted by law.

You do not have to provide this information, but if you do not your application for approval as a prospective mortgagor or borrower may be delayed or rejected. The information requested in this form is authorized by Title 38, USC, Chapter 37 (if VA); by 12 USC, Section 1701 et. seq. (if HUD/FHA): by 42 USC, Section 145b (if HUD/CPD): and Title 42 USC, 1472 et. seq. or 7 USC, 1921 et. seq. (if USDA/FmHA).

Applicant's Social Security Number:

Applicant's Name:

Retype name to Sign:

Co-Applicant's Social Security Number:

Co-Applicant's Name:

Retype name to Sign:

Don't forget to pay your $20 or $40 credit reporting fee after submitting your request!

Success Stories