Loan Application

First Name *
Middle Name
Last Name *
Create Password *
Re-type Password *
Patriot Act

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify,and record information that identifies each person who opens an account.What this means for you: As part of applying for your mortgage loan, we will ask for your name, address, date of birth,and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

I AGREE to the Patriot Act I DO NOT AGREE to the Patriot Act
Social Security Number *
date of Birth *
Month
Date
Year
Are you *
Dependents age
Current Home Address *
City *
State *
Zip *
Cell Number
  
Home Phone Number
  
Work Phone Number
  
How long have you lived at your current address
Year *
Month *
If less than 2 years, Please include full address and dates of your previous residency
Explain
Are you a ?
Homeowner
Renter
Living with friend or relative
If you are a homeowner, are you selling your current home?
Yes
No
Will there by a co-borrower on this loan?
Yes
No
Are you self-employed?
Yes
No
Name of employer
Address
City
State
Zip Code
Position/Job Title
Gross Monthly Income
How many years and months have you been with this employer?
Month
Year
How many years you heve been in this line of work?
Year
If less than 3 years at your current employer, pleas list employers name, phone number and dats of employment. Please explain any employment gaps.
Employers Name
Phone Number
Dates
Explain
Source of Additional Income
Monthly Amount
NOTICE: Alimony, child support or sparate maintenance income need not be revealed if you do not choose to have it considred for rpaying this loan.
If Paying
If Receiving
Which best describes the purpose of this loan request? Check all that apply
Primary Residence
Second Home
In Park
My Land
Private Land
Relatives Land
Purchasing a mobile
Pre Qualifying for a mobile
Refinancing my existing mobile
Other
Explain $
Purchase or Asking Price *
How much are you going to invest towards the down payment? *
Property address if known
Park/Community Name
Space/Lot Fee $ *
Manufacturer Name
Model Name
Year of Mobile Home
Home Size (width and length)
If there is a Realtor involved, please list the agents name and phone number
Agent Name
Phone Number
If this is a private sale (for sale by owner), please list the sellers name and phone number
Sellers name
Phone number
Refinance borrowers only
Monthly Payment
Declarations
No
Yes
Are there any outstanding judgments against you?
Have you declared bankruptcy within the past 7 years
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Are you a party to a lawsuit
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
Are you a co-marker or endorser on a note?
Are you a U.S Citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
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 with equal credit opportunity, fair housing and home loan home loan disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate either on the basis of this information, or on whether you choose to furnish it. If you furnish the Information, please provide both ethnicity and race. For race you may check more then one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname if you have made this application in person. If you do not furnish this information, please check the box below.(Lender must review the above material to assure that the disclosures satisfy all requirements to which lender is subject under applicable state law for the particular type of loan applied for.)
Borrower
I do not wish to furnish this information
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
Race
American Indian or alaska native
White
Asian
Native hawiian or othr pacific islander
Black or african american
Sex
Male
Female
Everything that you have stated on this application is correct to the best of your knowledge and you acknowledge you are legally of age to enter into this transaction. You are applying for a loan for the purchase or refinance of the manufactured home described in this application. You will use this manufactured home only for the purpose indicated and not for illegal or restricted purpose. You have accurately listed all of your obligations and the income that will be used to repay a manufactured home loan. You are authorized the lender to check your credit and employment histories, as well as all other information provided in this application. You are also authorizing the lender to obtain verification and answer questions from any source named in this application. We may retain this information and answer questions from persons about your credit experience with you. I understand that you have no obligation to give me (us) the loan which i(we) request, and additional terms and conditions will be imposed if i (we) accept a loan form you. You understand that this application may be considered withdrawn if you do not inquire about its status within 30 days ot the date of submission