Click1003 Interactive Online Mortgage Application

This application was designed to help the borrower move quickly through the application process with a help tool in every section of the application. This easy to fill form makes getting your home loan a snap.

TYPE OF MORTGAGE AND TERMS OF LOAN

*E-mail Address: (Required field)

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

Loan Officer or Interviewer's Name:

Loan Applied For:	V.A.	FHA	Conventional
(Choose one)	FmHA	Other	If other (type)

Loan, Tax & Insurance Information:

Amount Applied For:

$

Interest Rate:

Number of Months:

Yearly Taxes:

$

Yearly Insurance:

$

Amortization Type:

Fixed Rate

Other

If Other (explain)

(Choose one)

GPM

ARM

If ARM (type)

PROPERTY INFORMATION AND PURPOSE OF LOAN

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

VESTING INFORMATION

Title will be held in what names (enter below):

Manner in which title will be held (enter below):

BORROWER INFORMATION

Enter Borrower's Name Below (include Jr. or Sr. if applicable)

First Name:

Mi.:

Last Name:

Soc. Sec. No.:
Home Phone:

Age:

Yrs. in School:

Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

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:

CO-BORROWER INFORMATION

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:

Age:

Yrs. in School:

Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

Present Address:

Street:

Own: Rent:

City, State, Zip:

Number of years:

EMPLOYMENT INFORMATION

	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:

GROSS MONTHLY INCOME

Below, enter your income in the Borrower and Co-Borrower fields only without the "$". The form will automatically total your entries in the total fields for you.


Gross Monthly Income	Borrower	Co-Borrower	Total
Base Employment Income:	$	$	$
Overtime:	$	$	$
Bonuses:	$	$	$
Commissions:	$	$	$
Dividends/Interest:	$	$	$
Net Rental Income:	$	$	$
*Other Income:	$	$	$
Total:	$	$	$

COMBINED MONTHLY HOUSING EXPENSE


Combined Monthly Housing Expense	Present	Proposed
Rent:	$	.
First Mortgage (P&I):	$	$
Other Financing (P&I):	$	$
Hazard Insurance:	$	$
Real Estate Taxes:	$	$
Mortgage Insurance:	$	$
Homeowner Association Dues:	$	$
Other Expenses:	$	$
Total:	$	$

SCHEDULE OF REAL ESTATE OWNED

Property (#1):
Street:	Market Value: $
City, State, Zip:	Mtg. Pymts.: $
Property Type:	Mtg. Liens: $

Property (#2):

Street:

Market Value: $

City, State, Zip:

Mtg. Pymts.: $

Property Type:

Mtg. Liens: $

Property (#3):

Street:

Market Value: $

City, State, Zip:

Mtg. Pymts.: $

Property Type:

Mtg. Liens: $

Total Present Market Value:

Total Mortgage Payments:

Total Mortgage Liens:

$

$

$

INFORMATION ABOUT YOUR ASSETS

List checking and savings accounts below

	Bank, S&L, or Credit Union:	Account Number:	Cash or Market Value:
Bank 1			$
Bank 2			$
Bank 3			$
Bank 4			$

Stocks and Bonds

	Company Name/Description	No.:	Cash or Market Value:
Co. #1			$
Co. #1			$

Other Assets

Type Of Asset	Cash or Market Value:
Vested interest in retirement fund:	$
Net worth of business(es) owned:	$
Auto #1:	$
Auto #2:	$
Auto #3:	$
Other #1:	$
Other #2:	$
Other #3:	$

TOTAL OF ALL ASSETS =

INFORMATION ABOUT YOUR LIABILITIES

List the creditor's name, and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Do not list normal household bills such as electricity, water, garbage, etc.

Company Name:

Account Number:

Unpaid Balance:

Monthly Payment:

Debt 1

$

$

Debt 2

$

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

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

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

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

Age:	Yrs. in School:
Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

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:

Property (#2):
Street:	Market Value: $
City, State, Zip:	Mtg. Pymts.: $
Property Type:	Mtg. Liens: $

Property (#3):
Street:	Market Value: $
City, State, Zip:	Mtg. Pymts.: $
Property Type:	Mtg. Liens: $

Total Present Market Value:	Total Mortgage Payments:	Total Mortgage Liens:
$	$	$

	Company Name:	Account Number:	Unpaid Balance:	Monthly Payment:
Debt 1			$	$
Debt 2			$