Mortgage Application

We currently partner with CU Companies to provide mortgage services to our borrowers. Please complete this application for processing.

* Required Fields

Applying for Individual or Joint Credit?

Martial Status:

Requesting:

Amount Requested:

Down Payment Option:

Term Requested:

Primary Borrower

Member Number:

Name:

Social Security Number:

- -

Date of Birth:

/ /

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Email Address:

Primary Borrower - Current Home Address

Address:

Address 2:

City:

State:

ZIP:

Time at current residence:

Residence Type:

Monthly Payment:

Primary Borrower - Previous Home Address (**Required if less than 2 years at current home address)

Address:

Address 2:

City:

State:

ZIP:

Residence Type:

Monthly Payment:

Primary Borrower - Current Employment

Employer Name:

Employment Status:

Job Title:

Job Start Date:

/ /

Gross Monthly Income:

Other Income:

Other Income Source:

Primary Borrower - Previous Employer (**Requred if less than 2 years at present employer)

Employer Name:

Employment Status:

Job Title:

Job Start Date:

/ /

Gross Monthly Income:

Co-Borrower

Member Number:

Name:

Social Security Number:

- -

Date of Birth:

/ /

Home Phone Number:

Work Phone Number:

Email Address:

Co-Borrower - Home Address

Address:

Address 2:

City:

State:

ZIP:

Time at current residence:

Residence Type:

Monthly Payment:

Co-Borrower - Previous Home Address (**Required if less than 2 years at current home address)

Address:

Address 2:

City:

State:

ZIP:

Time at residence:

Residence Type:

Monthly Payment:

Co-Borrower - Present Employment

Employer Name:

Employment Status:

Job Title:

Job Start Date:

/ /

Gross Monthly Income:

Other Income:

Other Income Source:

Co-Borrower - Previous Employment (**Required if less than 2 years at present employer)

Employment Name:

Employment Status:

Job Title:

Job Start Date:

/ /

Gross Monthly Income:

References - Nearest Relative Not Living With You

Name:

Relationship to You:

Phone Number:

Address:

Address 2:

City:

State:

ZIP:

Additional Information

Are there any outstanding judgments 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 judgment?

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?

Is any part of the down payment borrowed?

Are you a co-maker or endorser on a note?

How did you hold title to the home?

Are you a U.S. Citizen?

Are you a permanent resident alien?

Do you intend to occupy the property as you being primary residence?

Have you had an ownership interest in a property in the last three years?

What type of property did you own?

How would you prefer to be contacted:

Type your name as your signature to this Application:

By checking the box below, I/we hereby certify that all statements made are true and complete and submitted for the purpose of obtaining credit, employment history, obtain a credit report, and answer any questions about their credit history with me/us. Upon my/our request, the credit union will disclose the name and address of any credit bureau from which it received a report on me/us. I/we understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to Federal Credit Unions or State-Chartered Credit Unions insured by the NCUA.

* Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as basis for repaying this loan.

I have read and agree to the terms of use:

Yes

Security Code:

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