Mortgage Application

Loan Property Information

Amount of Loan*
$

Interest Rate*
%

Term of Loan*

Amortization Type*

Purchase Price or
Property Value*
$

Year Built*

Purpose of Loan*

Property will be*

Year Property
Acquired*

Original Cost*
$

Existing Mortgage*
$

Second Mortgage
Amount*
$

Purpose of
Refinance*

Property Address (Street, City, State, Zip)*

County*

Number
of Units

Borrower Information

Borrower's Name (Include Jr or Sr if applicable)*		Social Security Number* - -	Age*	Years in School*
Email Address*	Marital Status*	Home Phone* () -	Number of Dependents*
Present Address (Street, City, State, Zip)*		Own/Rent?*	Number of Years*

If residing at present address less than two years, complete the following
Former Address (Street, City, State, Zip)		Own/Rent?	Number of Years


Employment Information
	Name*	Business Phone* () -
	Position/Title/Type of Business*	Self-employed
	Address (Street, City, State, Zip)*	Years in This Profession*	Years on This Job*
	If employed in your current position for less than two years, or if you hold more than one position, please complete the following.
	Name	Business Phone () -
	Position/Title/Type of Business	Self-employed
	Address (Street, City, State, Zip)	Monthly Income $	Date From - To (month/day/year)

Housing Expense Information
	PRESENT	PROPOSED
	Rent $
	First Mortgage (P&I) $	First Mortgage (P&I) $
	Other Financing $	Other Financing $
	Hazards Insurance $	Hazards Insurance $
	Real Estate Taxes $	Real Estate Taxes $
	Mortgage Insurance $	Mortgage Insurance $
	Homeowners Assoc. $	Homeowners Assoc. $

Is there a Co-Borrower? Yes No

Co-Borrower Information

Borrower's Name (Include Jr or Sr if applicable)*		Social Security Number* - -	Age*	Years in School*
Email Address	Marital Status*	Home Phone* () -	Number of Dependents*
Present Address (Street, City, State, Zip)*		Own/Rent?*	Number of Years*

If residing at present address less than two years, complete the following
Former Address (Street, City, State, Zip)		Own/Rent?	Number of Years


Employment Information
	Name	Business Phone () -
	Position/Title/Type of Business	Self-employed
	Address (Street, City, State, Zip)	Years in This Profession	Years on This Job
	If employed in your current position for less than two years, or if you hold more than one position, please complete the following.
	Name	Business Phone () -
	Position/Title/Type of Business	Self-employed
	Address (Street, City, State, Zip)	Monthly Income $	Date From - To (month/day/year)

Housing Expense Information
	PRESENT	PROPOSED
	Rent $
	First Mortgage (P&I) $	First Mortgage (P&I) $
	Other Financing $	Other Financing $
	Hazards Insurance $	Hazards Insurance $
	Real Estate Taxes $	Real Estate Taxes $
	Mortgage Insurance $	Mortgage Insurance $
	Homeowners Assoc. $	Homeowners Assoc. $

Assets

Escrow Deposit Held By	Type	Balance $
Name of Financial Institution	Type	Balance $
Name of Financial Institution	Type	Balance $
Name of Financial Institution	Type	Balance $
Name of Financial Institution	Type	Balance $

Liabilities

Schedule of Real Estate Owned

Acknowledge

I authorize Krebs Financial to check my credit for the purpose of obtaining a mortgage pre-approval