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Mortgage Loan Application



1

Start

2

Borrower Info

3

Employment Information

4

Assets and Liabilities

5

Declarations

Loan Details

Property Information


Borrower Information

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Present Address

Do You?

Mailing Address (if different from Present Address)

Borrower Employment Info.

* If employed in current position for less than two years or currently employed in more than one position

Gross Monthly Income

Borrowers Gross Monthly Income

Other Monthly Income


Borrowers Other Monthly Income

Combined Monthly Housing Expense

Present




Asset Types (Checking, Savings and Other Asset Types)


Vested interest in retirement fund

Net worth of business(es) owned

Life insurance net cash value

Stocks & Bonds


Liabilities

Alimony / Child Support (Owed to)

Job-Related Expense (child care, union dues, etc.)

Schedule of Real Estate Owned

Property Address




Declarations

Are there any outstanding judgments against you?

Borrower

Co-Borrower


Have you been declared bankrupt within the past 7 years?

Borrower

Co-Borrower


Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years?

Borrower

Co-Borrower


Are you party to a lawsuit?

Borrower

Co-Borrower


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.)

Borrower

Co-Borrower


Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?

Borrower

Co-Borrower


Are you obligated to pay alimony, child support, or separate maintenance?

Borrower

Co-Borrower


Is any part of the down payment borrowed?

Borrower

Co-Borrower


Are you a co-maker or endorser on a note?

Borrower

Co-Borrower


Are you a U.S. citizen?

Borrower

Co-Borrower


Are you a permanent resident alien?

Borrower

Co-Borrower


Do you intend to occupy the property as your primary residence?

Borrower

Co-Borrower


Have you had an ownership interest in a property in the last three years?

Borrower

Co-Borrower

What type of property did you own?

How did you hold title to the home?

Please read this information carefully and print a copy and/or retain this information electronically for future reference.

TERMS AND CONDITIONS

By completing this secure, Online Credit Application and clicking "Accept" / "Submit" you certify that all information herein is true, complete, and you have read the Privacy Policy stated below and you authorize us (A-D Mortgage Loan Specialist, Inc.) to begin a credit investigation, including obtaining your consumer credit report, employment history, creditors´ experiences with you as a consumer and to forward or allow direct electronic access, your application to lenders, financial institutions, or other third parties in order to process your application. We may retain the application, and will contact you by telephone or email with regards to your application.

PRIVACY POLICY

1. We collect nonpublic personal information about you from the following sources:
• Information we receive from you on applications or other forms in connection with a financial transaction;
• Information about your transactions with us, our affiliates, or others; and
• Information we receive from a consumer reporting agency.

2. We may disclose the information we collect, as described above, to our affiliates, to other financial institutions with whom we have joint marketing agreements, or to companies that perform services or functions on our behalf. These companies may include financial service providers and non-financial companies such as computer and data processing companies, and marketing and after-market service providers. These companies will be contractually obligated to keep the information we provide them confidential and to use the information only to provide the services requested of them. We observe limits and restrictions set by law as to sharing of information with our affiliates or others.

3. We may disclose nonpublic, personal information about you as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.

4. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.

FAIR CREDIT REPORTING ACT DISCLOSURE

I/We understand that this application for credit will be submitted by us (A-D Mortgage Loan Specialist, Inc.) to various financial institutions for evaluation.

Be sure to check your Credit Application for completeness and accuracy before submitting. Once submitted, you will not be able to return to make changes.