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Thank you for filling out the application. A Loan Officer will contact you regarding your loan.
NLC Application No.:
Quick Application
Agent Ref. # :
1° Borrower Information
(Fill Out Completely - Please Print)
First Name :
*
Middle Name :
Last Name :
*
SSN :
*
DOB(mm/dd/yyy) :
*
Home Phone :
*
Current Home Address :
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Distric of Columbia
West Virginia
Wisconsin
Wyoming
Alberta
Ontario
British Columbia
Puerto Rico
Guam
Pacific Island
Virgin Islands
*
Zip :
*
Type
Own
Rent
No of Years :
Monthly Rent $ :
Employer Name :
*
Self Employed :
Yes
Work Phone :
*
Employer Address :
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Distric of Columbia
West Virginia
Wisconsin
Wyoming
Alberta
Ontario
British Columbia
Puerto Rico
Guam
Pacific Island
Virgin Islands
*
Zip :
*
Position :
Income $ :
/ Month
*
Yrs. On this job :
(yy.mm)
Yrs. in this line of Work :
(yy.mm)
Marital Status :
Unmarried(includes single, divorced, widowed)
Married
Seperated
*
2° CO BORROWER INFORMATION
First Name :
*
Middle Name :
Last Name :
*
SSN :
*
DOB(mm/dd/yyy) :
*
Current Home Address :
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Distric of Columbia
West Virginia
Wisconsin
Wyoming
Alberta
Ontario
British Columbia
Puerto Rico
Guam
Pacific Island
Virgin Islands
*
Zip :
*
Employer Name :
*
Self Employed :
Yes
Work Phone :
*
Employer Address :
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Distric of Columbia
West Virginia
Wisconsin
Wyoming
Alberta
Ontario
British Columbia
Puerto Rico
Guam
Pacific Island
Virgin Islands
*
Zip :
*
Position :
Income $ :
/ Month
*
Yrs. On this job :
(yy.mm)
Yrs. in this line of Work :
(yy.mm)
Marital Status :
Unmarried(includes single, divorced, widowed)
Married
Seperated
*
Relationship With Borrower :
Please Select
Spouse/Joint
Separate,Not Married/Joint
Other/No Relationship
*
Purpose of Loan :
Purchase
Refinance (Cash Out)
Refinance (Rate/Term)
*
Loan Program :
Full Doc.
Stated Income
No Ratio
No Doc.
3° Property Address
Property Address :
*
Country :
United States
Canada
City - State :
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Distric of Columbia
West Virginia
Wisconsin
Wyoming
Alberta
Ontario
British Columbia
Puerto Rico
Guam
Pacific Island
Virgin Islands
*
Zip :
*
4° PURCHASE
Occupancy Status :
Primary
Secondary
Investment
No. of Units :
Loan Amount :
*
Purchase price :
*
DownPayment $ :
*
Annual Real Estate Taxes :
/ Month
*
Hazard Insurance :
/ Month
*
PM Insurance $ :
/ Month
5° Refinance
Occupancy Status:
Primary
Secondary
Investment
No. of Units :
Market Value $ $:
*
Present Rate/Term $ $:
%
*
Mortgage Bal. $ :
/ Month
*
Mortgage Payment $ :
*
Annual Real Estate Taxes :
/ Month
*
Hazard Insurance :
/ Month
*
PM Insurance $ :
/ Month
Maintenance Fee (Co op/Condo) $ :
/ Month
6° Desired Loan Terms
Loan Term :
Please Select
30 Year Conventional
15 Year Conventional
10 Year Conventional
30 Year FHA Fixed
30 Year VA Loan
1 Year Arm
3/1 Year Arm
5/1 Year Arm
5 Year Balloon
7 Year Balloon
FHA Arm
Other Loan
7° SOURCE OF FUNDS
Bank Name :
*
A/C. No :
*
Balance $ :
*
Bank Name :
A/C. No :
Balance $ :
Life insurance / 401K / Stocks & Bond / Retirement Fund / Child Support... $ :
Balance $ :
I
/
W
e have reviewed the above information and acknowledge its validity based upon information we currently have. I / We understand that this is a pre-qualified and not a formal application for a loan. If pre-qualification is obtained, a full application will be necessary and subject to full processing, underwriting and receipt and mortgage loan, I / We will receive an official Good Faith Estimate estimating the closing cost within (3) business days of the application, as required by the Real Estate Settlement Procedure Act (RESPA). The Undersigned applicant(s) hereby authorize NLC of America to obtain a credit report from credit reporting agencies.
Copyright © 2008 NLC OF America
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