Main Content

Loan Application Form

    General Question

    YesNo
    YesNo
    YesNo
    TownhomeSingle FamilyCondoCooperative2 Unit3 Unit4 Unit
    Primary ResidenceSecondary ResidenceInvestment Property
    YesNo

    EMPLOYMENT HISTORY

    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo

    OTHER INCOME

    Dividends/InterestPension/Retirement IncomeNet Rental IncomeAlimony/Child Support IncomeSocial Security/DisabilityOtherNone
    Checking/Savings AccountMoney MarketReal EstateStock/BondRetirement FundsCertificate of DepositCash Deposit on Sales ContractTrust FundsSecured Borrowed FundsMutual FundsGift/Gift of EquityOther Non-Liquid AssetsOther Liquid AssetsNone

    DECLARATIONS (LEGAL HISTORY AND DEMOGRAPHICS)

    YesNo
    YesNo
    YesNo
    YesNo
    YesNoother
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    YesNo
    United States CitizenLawful Permanent Resident (LPR)Not a United States Citizen
    American Indian or Alaska NativeAsianAfrican AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteRather not say
    MaleFemaleOtherRather not say