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Mortgage Application
 

Thank you for inquiring with First Rate Mortgage regarding our fantastic purchase and refinance programs.  We specialize in finding the right program and the lowest rate for you.  Please complete the following questions so we can begin processing your pre-approval. 

Questions? Click here to email us.
 
Mortgage Application Form
 
1. Number of Applicants
1    2
2. Borrower Information
First Name: 
Last Name: 
Email Address:
Home Phone:
Cell Phone:
SS #:
Date of Birth:
   
3. Address Information
Address:
City:
State:
Zip:
Have you lived at this address for 2 years or more?
  Yes    No
4. Employment Information
Employer:
Duration:
 years and months
Position: 
Wage/Salary:
per
Employer Phone:
5. Additional Sources of Income
Do you have any additional sources of income? Ex. child support, alimony, rental, etc...
  No   Yes
6. Dependents
Do you have any legal dependents?
  No   Yes
7. Credit History
Excellent:
Good:
Fair:
Poor:
Unknown:
8. Down Payment
Amount:
 Source:
 
9. Assets
Examples: 401k, checking/savings, mutual funds, stocks, bonds, cash-value life insurance policies, etc.
  Source:
  Value:
  Source:
  Value:
  Source:
  Value:
By clicking SUBMIT below, I indicate that all information stated above is correct and is being represented truthfully. The information collected in this form will not be sold or used for any other purpose outside of First Rate Mortgage.
 
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