South Florida RESIDENTIAL MORTGAGE SERVICES TM
 

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  Home Loan Information / Pre-Approval

        

'EasyApply'
Home Loan Information
Request Form

Instructions:
  • Use this form to request mortgage information.
  • Please fill out as much of the form as possible.
  • When finished, click on 'Submit Application'.

Your South Florida home-mortgage representative will contact you.
A convenient day or evening phone number would be required.

General Information:

Borrower Co-Borrower
Full Name
Address

City/State or Country
Zip or Post Code

Home Phone
Work Phone
Best Contact Time
E-mail
Fax # (if avail)
Non-US Resident?
Employer
Employer Phone
Self-Employed ? Yes No Yes No
Length of Employment
Monthly Income
Past Bankruptcy? YesNo Yes No 
Credit History is:
Excellent
Good, but some lates
Some problems
Major credit problems
Don't know
Excellent
Good, but some lates
Some problems
Major problems
Don't know
Loan Request Information:
Amount Requested: 
Type of Loan:

Mortgage Property Information:

Property Street Address

City, State, Zip Code

Estimated Property Value

Probable Purchase Date

Condominium?

 Yes  No

Intended Property Use

Primary Residence
Second/Vacation
Investment Home

Purchase Amount


Existing Loan Information:
Present Mortgage(s) Balance Held by Bank Monthly Payment
First
Second
Other
Other Creditors Amount Owed Monthly Payment Will be Paid Off?
$ $ Yes No
$ $ Yes No
$ $ Yes No
$ $ Yes No
Any additional monthly debts and information - please describe:

By submitting this on-line application, I/we authorize
South Florida Residential Mortgage Services/South Florida Buyerside Realty, to check
such things as my/our credit, business or employment status and provided information.