Disclaimer:
Filling out this form does not lock in rate nor
guarantee rate protection of any kind. All loan
applications must be confirmed verbally with a
First Choice Mortgage Loan Officer. Please call us
at 706-855-1599 to lock-in rate and confirm the
reception of your loan application.
1. Use this form to
request mortgage information.
2. Please fill out as much of this form as
possible.
3. When finished click on the Submit button.
A loan officer will
contact you. A phone number is required.
GENERAL
INFORMATION
Borrower
Co-Borrower
Name
Address
City,
State, Zip
Home
Phone
Work
Phone
E-mail
Address
Social
Security #
Employer
Employer's
Phone Nunber
Self
employed?
Yes
No
Yes
No
Length
of Employment
Gross
Monthly Income
Date
of Birth
LOAN REQUEST
Amount
Requested
Type
of loan
PROPERTY
INFORMATION
(This
information needs to be filled out for property
that is collateral for the loan)
Street
Address
City,
State, Zip Code
Estimated
Present Value
Year
Purchased
Original
Price
Type
of Property
Primary
Second/Vacation
Investment
Purchase
Amount
LOAN
INFORMATION
Mortgage
Balances
Amount
Held
by
Payment
First
Second
Other
Creditors
Amount
Owed
Monthly
Payment
Will
you pay this off?
$
$
Yes
No
$
$
Yes
No
$
$
Yes
No
$
$
Yes
No
Other monthly debts and
information - please describe
By submitting this on-line application, I/We
authorize First Choice Mortgage to check such
things as my/our credit, business and employment
status and histories.
Submitting this
application does not lock-in rate as posted. All
applications must be confirmed verbally.
Please Call First Choice
Mortgage immediately to confirm the acceptance of
your loan application.
