If you are ready to apply for a mortgage, complete this full mortgage application, click SUBMIT and we will be in touch with you immediately to get your loan underway. For immediate assistance, call (305) 865-4050.
1. TYPE OF MORTGAGE AND TERMS OF LOAN
Mortgage applied for
Loan amount
Interest rate
%
Number of months
Amortization type
2. PROPERTY INFORMATION AND PURPOSE OF LOAN
Subject property address
City
State
Number of units
Purpose of loan
Property will be
Purchase price or estimate value
Source of down payment, settlement charges, and/or subordinate financing
Estate will be held in
Complete the items below if this is a construction, construction-permanent or refinance loan
Existing liens (amount)
Purpose of refinance
3. BORROWER INFORMATION
First name
Middle initial
Last name
Generation suffix (if applicable)
(e.g. Jr., Sr., II)
Social Security number
Evening phone
Marital status
Number of dependents
(Count shared dependents once)
Email address
Present address
Street
City
State
Zip code
Rent or own
How long at address
Years
Months
Complete the following if at present address less than two years
Street
City
State
Zip code
Rent or own
How long at address
Years
Months
First name
CO-BORROWER INFORMATION
Middle initial
Last name
Generation suffix (if applicable)
(e.g. Jr., Sr., II)
Social Security number
Evening phone
Marital status
Number of dependents
(Count shared dependents once)
Email address
Present address
Street
City
State
Zip code
Rent or own
How long at address
Years
Months
Complete the following if at present address less than two years
Street
City
State
Zip code
Rent or own
How long at address
Years
Months
4. EMPLOYMENT INFORMATION
Borrower
Co-Borrower
Current employer
Time on job
Years
Months
Time on job
Years
Months
If employed in current position less than two years or if currently employed in more than one position, complete the following
Secondary current employer
Borrower
Co-Borrower
Time on job
Years
Months
Time on job
Years
Months
Secondary current employer
Borrower
Co-Borrower
Time on job
Years
Months
Time on job
Years
Months
5. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Base empl. income
Gross monthly income
Borrower
Co-Borrower
Overtime
Commissions
Bonuses
Dividends/interest
Describe other income: NOTICE: Alimony, child support, or separate maintenance need not be revealed if you do not choose to have it considered for repayment of this loan.
Owner
Description
Monthly amount
#1
#2
#3
Combined monthly housing expense
Where you live now
Rent
Proposed loan
First mortgage (P&I)
Other financing (P&I)
Hazard insurance
Real estate taxes
Mortgage insurance
Homeowner assn. dues
Other
6. ASSETS
This statement and any applicable supporting schedules may be completed jointly by both married and unmarried co-borrowers if their assets and liabilities are sufficiently joined so that the statement can be meaningfully and fairly presented on a combined basis; otherwise, separate statements and schedules are required. If the co-borrower section was completed about a spouse, this statement and supporting schedules must be completed about the spouse also.
Account owner
List assets, including checking and savings accounts below
Asset type
Description
Cash or market value
Account owner
Asset type
Description
Cash or market value
Account owner
Asset type
Description
Cash or market value
Account owner
Asset type
Description
Cash or market value
Current/subject
Schedule of real estate owned
Property disposition
Property street
Property city
Property state
Property zip code
Present market value
Gross rental income
Insurance, maintenance, misc.
Insurance, maintenance, misc.
Current/subject
Property disposition
Property street
Property city
Property state
Property zip code
Present market value
Gross rental income
Present market value
Gross rental income
Insurance, maintenance, misc.
Enter all remaining properties combined
7. DECLARATIONS
Items
Borrower
Co-Borrower
a. Are there any outstanding judgments against you?
b. Have you ever been declared bankrupt within the last seven years?
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven years?
d. Are you a party to a lawsuit?
e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee?
f. Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
g. Are you obligated to pay alimony, child support, or separate maintenance?
h. Is any part of the down payment borrowed?
i. Are you a co-maker or endorser on a note?
j. Are you a U.S. citizen?
k. Are you a permanent resident alien?
l. Do you intend to occupy the property as your primary residence?
m. Have you had ownership interest in a property in the last three years? (If you answered yes, complete questions 1 and 2 below.)
1. What type of property did you own?
Borrower
Co-Borrower
2. How did you hold title to the home?
If you answered YES to any questions A through I above, explain in the box below
The following information is requested by the federal government for certain types of loans related to a dwelling to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this informatin, but are encouraged to do so. The law provides that a lender may not discriminate on the basis of this information, nor on whether you choose to furnish it. If you do not want to furnish this information, select the box below.
By clicking Continue, you are authorizing Homekeepers Mortgage Company, Inc, to contact you using the telephone or cell phone number(s) or email address(es) you provide in this online session. Your authorization means that we can call you even if you previously registered a federal or state "do not call" preference or you gave Wells Fargo your "do not call" preference. Our contact, however, will relate only to the products or services in which you are interested in this online session, and we may call or email you even if you do not submit or save the online application. If you do not want us to contact you, please complete your application by calling the phone number provided.
Important Information about Procedures for Opening a New Account
To help the government fight the funding of terrorism and money laundering activities, U.S. Federal law requires financial institutions to obtain, verify, and record information that identifies each person (individuals and businesses) who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask for your driver's license or other identifying documents.
Equal Housing Opportunity. This material is based on information which we consider reliable, but because it has been supplied by third parties, we cannot represent that it is accurate or complete and should not be relied on as such. This offering is subject to errors, omissions, change of price or withdrawal without notice.
