Loan Qualification Application: Please fill out all the fields on the application unless there is no co-applicant. Applicants Information: Last Name: Middle In: First Name: Suffix: Street Address: City: State: Select One AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP Zip: Social Security Number: Birth Date: Marital Status: Select One Married Single Separated E-mail Address: Home Phone Number: Employer: Gross Monthly Income: Co-Borrowers Information: Last Name: Middle In: First Name: Suffix: Street Address: City: State: Select One AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AA AE AP Zip: Social Security Number: Birth Date: Marital Status Select One Married Single Separated E-mail Address Home Phone Number: Employer: Gross Monthly Income: Other Information: Location of Home (site): Purpose of Purchase: I have a downpayment of: Type of downpayment: Number of Bedrooms: Select One 2 3 4 5 Baths: Select One 1 2 3 4 Square Footage: Select One 1000 or less 1000 - 1600 1600 - 2000 2000+ Desired Monthly Payment: If you have a trade-in, list make, year and size Amount Owed: Estimated Trade Equity: Please Include any additional comments or information you think may be helpful. *By submitting this application you are giving us permission to obtain a credit report from a credit bureau to be used to determine your qualifications to purchase a home.