Applied Wholesale Mortgage - Online Mortgage Loan Application

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Please select a loan program

Please enter the full name and title of the primary borrower.

Please enter the full name and title of the co-borrower. Most often a co-borrower is a spouse but it can be a friend or family member. If the co-borrower is not a spouse please note the contact information section.

Please enter the area code and phone number of the most convenient location in which to contact you in the evening.

Please enter the area code and phone number of the best location in which to contact you during the day.

Please enter the best E-Mail address in which to reach you.

Please enter the best hours to reach you, any special instructions necessary to contact you or any other phone numbers at which we may reach you.

Please enter your current address, including the city, state and zip code. This is used by credit agencies to confirm your identify and by us to mail you documents.

Click this button if you own your current address. If you are living rent free, then click the Rent button.

Click this button if you rent or if you are living rent free at your current address.

How many years have you lived at your current address?

You will be living in the subject property withing 30 days and will continue to occupy this home as your primary residence for the next 12 months. If this is a refinance you must already occupy the home.

You are buying the property as an investment, you will not be living in the property.

You will be occupying the home at least 14 days per year and rental income is not reported for the subject property on your Federal Income Tax ruturns. This home should not be in the same neighborhood as your primary residence and should be located in a resort or vacation type location.

What is the purchase price? Please note any special considerations such as seller paid closing costs in the comments section located below...

What is the amount you want to borrow?

Is your primary purpose of refinancing to obtain a better interest rate or shorter term?

Would you like to receive cash back after the existing mortgages are paid on your home? Several cash out options include debt consolidation, home improvement, other investments, replenish cash reserves, education, and large purchases such as automobiles or boats.

Home improvements will be done to the subject property. These may include specific repairs, additions, or remodeling.

This may include paying off all mortgages plus auto, personal loans, credit cards, or any other existing loans.

This is the balance of your existing first mortgage lien as of today. You can guestimate this amount to the nearest $1,000.

Please provide the existing note rate or your best estimate. We may use this to help you determine if you could save money with a new first mortgage or second mortgage/equity line.

Please provide the monthly payment of your existing first mortgage. If your property taxes, home owners insurance or any other amount is included please note the amounts in the comments section available below. This will help us determine how much you may save with the new payments.

This is the balance of all other existing mortgage liens on the subject property as of today. Second mortgage liens include fully amortized loans as wells as equity lines of credit. You can guestimate this amount to the nearest $1,000.

Please provide the existing second note rate or your best estimate. We may use this to help you determine if you could save money with a new first mortgage or second mortgage/equity line. If you have several liens on the property please clarify this in the comments section below.

Please provide the monthly payment of your existing second mortgage. If you have several liens on the property please clarify this in the comments section below. If your property taxes, home owners insurance or any other amount is included please note the amounts in the comments section available below. This will help us determine how much you may save with the new payments.

Please let us know if your existing mortgage has a balloon or prepayment feature and if your current loan a fixed or adjustable? Providing the term remaining on your loan that may help determine the best option for you as well.

Please select the type of income that is the closest match to your present income.

How many years have you been with your current employer? If you have been with your current employer less than two years please note your other employer(s) in the income notes section listed below.

What is the borrower's gross monthly income...that is the income before taxes.

Please select the co-borrower's type of income that is the closest match.

How many years has the coborrower been with their current employer?

What is the coborrowers gross monthly income or the monthly income before taxes?

Please select other types of income that you may have.

Please enter how many years you have been receiving other income.

Please enter the gross monthly amount of the other income.

Select Yes if you can verify your income with paystubs, 2 years W-2s, and 2 years Federal Income Tax returns.

Select No if you cannot verify your income. We may still have a loan for you although the terms may be different.

Please note if you have had any employment gaps longer than 30 days in the last two years. If you have a second job or other income in the last two years please describe it. Additionally, please comment on any large increases or bonuses during the last two years.

What type of financing would you like to obtain? You may clarify the rate and points, the loan term (30, 20, 15), and fixed or adjustable rates. Please let us know if the financing is for the home you live in or for another property. The more details you provide us the better we can provide a solution that bets meets your needs.

Please describe your credit history on a scale of 1 to 10 (10 being perfect). If you have any payments more than 30 days late in the last two years please describe what kind of account (mortgage, installment, credit card), the severity how late was it (30, 60, 90, not paid), frequency (how many times), how long ago it was, and the reason it happened. It is OK if you do not remember the exact details. The more descriptive you are the better it will assist us in helping you.

Please type the nine digit Social Security Number of the borrower.

Please type the nine digit Social Security Number of the co-borrower.

May wee access your credit history?

We will not access your credit history.

Please read the following terms and conditions.

Thank you for using our online mortgage loan application form. Processing of your request will begin immediately after submission.

1) Choose a Lender
Loan Program:
2) Enter Borrower Information
Borrower:	First Name	M.I.	Last Name	Title
Co-Borrower:
Home Phone:	( ) -
Work Phone:	( ) -
E-Mail Address:
Contact Notes:
Current Address:
City:
State:
Zip:
Do you?	Own Rent		How Many Years?
Loan will be for a	Owner Occupied Property Investment Property Second Home
3) Fill out this section if this loan is for a Purchase
Purchase Price:			Loan Amount:
4) Fill out this section if this loan is for a Refinance
Purpose:	Better Rate Cash Out Home Improvement Debt Consolidation
1st Mortgage:	Balance	Rate			Payment
2nd Mortgage:
Mortgage Notes:
5) Fill out income information
Borrower:	Income Type *Voluntary Information		Years on Job	Gross Monthly Income
Co-Borrower:	*Voluntary Information
Other:	*Voluntary information
Can you verify income?	Yes No
Income Notes:
Tell us about the kind of loan you are interested in?
Tell us a little about your credit history?
Social Security Numbers:	Borrower Co-Borrower	- - - -

May we access your credit report to help determine your qualifications for a loan?
Yes No

Each applicant specifically acknowledges and agrees that:
1) the loan requested by this application will be secured by a first or second mortgage or deed of trust on the property described herein;
2) all statements made in this application are made for the purpose of obtaining the loan indicated herein
3) occupation of the property will be as indicated above
4) verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved
5) the Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing
6) ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign to the Lender prior notice to me
7) the Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property.

Certification
I/We certify that the information provided in this application is true and correct as of the date submitted to PCLender.com and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 10001, et seq. a liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.

It's simple.

It's guaranteed...

The way a loan should be.