Timeless Home Mortgage

Mortgage Application Form

Step 1 / 2

Loan Information:

Personal Information:

Request Borrower Co-Borrower
First Name
Middle Initial
Last Name
Address 2
Zip Code
Own / Rent
Time in Residence
Home Phone
Work Phone
Cell Phone
Best Time to Contact
Email Address
Social Security #
Monthly Income
Notice: Alimony, child support, or separate maintenance income need not be revealed if the borrower or co-borrower does not choose to have it considered for repaying this loan. If you would prefer a low doc program - enter "stated" for the income amount.
Self Employed
Years employeed at current job
Years employed in current line of work
Date of Birth
eg. 13/03/64

Credit Information:

Request Borrower Co-Borrower
How is your credit?
Ever filed for bankruptcy?
Source of downpayment?

Step 2 / 2

Property Information:

Complete the information below for the property you are purchasing
Month/Year Closing

REALTOR® Information:

There are items we need to contact your REALTOR® for, such as copies of the earnes money deposit check, co-ordinating inspections and surveys, etc.

Existing Mortgage Application

(If Applicable)

Mortgage Company Balance Payment
Equity Line


Questions Borrower Co-Borrower
Are there any outstanding judgements against you?
Have you been declared bankrupt within the
past 7 years?
Have you had property foreclosed upon or
given title or deed in lieu thereof in the last 7 years?
Are you a party to a lawsuit?
Have you directly or indirectly been obligated
on any loan which resulted in foreclosure, transfer of title,
in-lieu of foreclosure, or judgement?
Are you presently delinquent or in default
on any Federal debt or any other loan, mortgage,
financial obligation, bond or loan guarantee?
Are you obligated to pay alimony,
child support, or separate maintenance?
Are you a co-maker or endorser on a note?
Are you a US Citizen?
Are you a permananet resident alien?
Do you intend to occupy the property as your primary residence?
Have you had an ownership interest in a property
in the last three years?
What type of property did you own?
How did you hold title?