Mr. Refinance - South Florida Mortgage Broker, Florida Mortgage Quote, Florida Home Mortgage Refinancing, Bad Credit Florida Mortgage Refinance

* Enter Your E-mail Address: (Required field)

* Create Your Own Password: (Required field)

If you are in contact with a loan officer or interviewer, enter their name below:

Loan Officer or Interviewer's Name:

	The income or assets of a person other than the "Borrower" (including the Borrowers spouse) will be used as a basis for loan qualification.

	The income or assets of the Borrower's spouse will not be used as a basis for loan qualification.

Loan Applied For:(Choose one)	V.A	Conventional	Other
Loan Applied For:(Choose one)	FHA	USDA/Rural Housing Service	If Other (Type)

Loan, Tax & Insurance Information

Amount Applied For:

Interest Rate:

Number of Months:

Yearly Taxes:

Yearly Insurance:

	Amortization Type: (Choose one)	Fixed Rate	Other	If Other (explain)
	Amortization Type: (Choose one)	GPM	ARM	If ARM (type)

	Subject Property Address:
	Street:
	City, State, Zip:
	APN or Parcel Number:
	Number of Units:	Year Built:

Purpose of Loan: (Choose one)
Purchase	Construction	Other
Refinance	Constr.-permanent	If other (explain)

	Property will be: (Choose one)
	Primary Residence	Secondary Residence	Investment

Complete below if construction or construction-to-permanent loan

Year Lot Acquired:

Original Cost: $

Amount Existing Liens: $

Value of Lot: $

Cost of Improvements: $

Total Value: $

Complete below if this is a refinance loan

Year Acquired:

Original Cost: $

Amount Existing Liens: $

Purpose of Refi:

Imprvements made:

To be made:

Cost of Improvements: $

Please Describe improvements (if any):

	Title will be held in what names (enter below):
	Title will be held in what names (enter below):
	Manner in which title will be held (enter below):
	Manner in which title will be held (enter below):
	Source of Down Payment, Settlement Charges and/or Subordinate Financing: Please explain:

	Estate will be held in: Fee Simple: Leasehold:
	If Leasehold Estate, enter expiration date:

Enter Borrower's Name Below (include Jr. or Sr. if applicable)
First Name:	Mi.:	Last Name:
Soc. Sec. No.:	Home Phone:

	DOB (mm/dd/yyyy):	Yrs. in School:
	Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

Dependents: (How many?)

What are their ages?

NOTE:

If Borrower address is the same as Subject Property address, check the box:

Present Address:

Street:

Own: Rent:

City, State, Zip:

Number of years:

If Mailing Address is different than Present Address above, click "Yes": Yes: No:

If residing at Present Address for less than two years, complete the following:

	Former Address:
	Street:		Own: Rent:
	City, State, Zip:		Number of years:

NOTE:	If Co-Borrower information is the same as Borrower, check the box:
	Enter Co-Borrower's Name Below (include Jr. or Sr. if applicable)
	First Name:	Mi.:	Last Name:
	Soc. Sec. No.:	Home Phone:

	DOB (mm/dd/yyyy):	Yrs. in School:
	Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

Dependents: (How many?)

What are their ages?

Present Address:

Street:

Own: Rent:

City, State, Zip:

Number of years:

If Mailing Address is different than Present Address above, click "Yes": Yes: No:

If residing at Present Address for less than two years, complete the following:

Former Address:

Street:

Own: Rent:

City, State, Zip:

Number of years:

	Borrower	Co-Borrower
Employer Name:
Street Address:
City, State, Zip:
Work Phone:
Position/title:
Business Type:
Self Employed?:	Yes: No:	Yes: No:
Years on Job:
Yrs. in profession:

NOTE:

If you have been employed in this position for less than two years or you are currently employed in more than one position, Click "Yes" at the right and continue.

Yes: No: