Atlanta QuickApp

	The Mortgage Group	Personalized Mortgage Lending

QuickApp

Please fill out as completely as possible. Use the "Tab" key to move through the form

Your Email Address

TYPE OF MORTGAGE AND TERMS OF LOAN

Loan Amount Requested $

PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Address

City

Zip

Purpose of Loan Purchase Refinance Pre-Approval	Property will be Primary Residence Second Home Investment
If Purchase-Sales Price $ Real Estate Taxes $ Insurance $

If Refinancing-Existing Liens $

Estimated Value $

BORROWER INFORMATION

Borrower		Co-Borrower
First Name	Last Name	First Name	Last Name

Social Security #		Social Security #
Home Phone	Work Phone	Home Phone	Work Phone
Present Address		Present Address
Street Address	City	Street Address	City
State	Zip	State	Zip
Own Rent	No. of Years	Own Rent	No. of Years

EMPLOYMENT INFORMATION

Borrower		Co-Borrower
Employer		Employer
Position/Title		Position/Title
Self-employed Yes No	Years on this job	Self-employed Yes No	Years on this job
Years in current profession		Years in current profession
IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS... please complete additional information
Name of Employer		Name of Employer
Position/Title		Position/Title

INCOME

	Borrower	Co-Borrower
Gross Monthly Income	$	$

ASSETS

Checking/Savings Accounts	Stocks and Bonds
Total Approx Balance $	Approx Cash Value $
Vested Interest in Retirement Funds $

OTHER REAL ESTATE OWNED
Property Address	Market Value	Amount Owed	Gross Income	Payment
Property Address	Market Value	Amount Owed	Gross Income	Payment

DECLARATIONS

	Borrower	Co-Borrower
Have you been declared bankruptcy within the last 7 years?	Yes No	Yes No
If so, what year was it discharged?

CREDIT HISTORY

Do you know your credit scores? Borrower: Co-Borrower:

If not, on a scale of 1 - 5 with 1 being the worst and 5 being the best, how would you rate your credit history?

Borrower:

Co-Borrower:

Additional comments:

Have you spoken with one our Mortgage Specialists?	Yes No
If so, which one?

Congratulations!
You have now completed our QuickApp.
Just press the "I Would Like a Home Loan!" button and we will respond to your request as quickly as possible.

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