On-Line Mortgage Application

Please fill out the application below as completely as possible. Fields marked with an * are required.

Purchase Refinance

Real Estate Agent:

Agent's Phone:

Loan Officer:

Borrower Information

Name:*

You may also print off the Mortgage Application, fill it out and fax it to Homes Mortgage at (651) 288-3805.

You can also mail the completed application to: Homes Mortgage, LLC
2127 County Road D East
Maplewood, MN 55109

SS#:*

Birth Date:*

Marital Status:*

# of Dependents:*

Dependents Ages:

Email:*

Home Phone:*

Work Phone:*

Cell/Alt. Phone:

Preferred Phone:

Best Time to Call:

Co-Borrower Information

Name:

SS#:

Birth Date:

Marital Status:

# of Dependents:

Dependents Ages:

Email:

Home Phone:

Work Phone:

Alt. Phone:

Current Residence (2 Year History)

Present Address:*
	*Please include Street Address, City, State and Zip Code

How Long at This Address:*

Rent or Own:*

Monthly Payment ($):*

Currently Escrowing:

** If at the present address for less than 2 years. **

Former Address:
	*Please include Street Address, City, State and Zip Code

How Long at This Address:

Rent or Own:

Monthly Payment ($):

Employment History (2 Year History)

Borrower

Name of Employer:*

Address:

Job Title:

How Long at Job:
	*Please enter both Years and Months at current job.

Income:*

Income Frequency:

How Long in This Line of Work:
	*Please enter both Years and Months.

Employer Phone:

Previous Job (if less than 2 years at present job)

Name of Employer:

Address:

Job Title:

How Long at Job:
	*Please enter both Years and Months at current job.

Income:

How Long in This Line of Work:
	*Please enter both Years and Months.

Employer Phone:

Co-Borrower

Name of Employer:

Address:

Job Title:

How Long at Job:
	*Please enter both Years and Months at current job.

Income:

How Long in This Line of Work:
	*Please enter both Years and Months.

Employer Phone:

Co-Borrower Previous Job (if less than 2 years at present job)

Name of Employer:

Address:

Job Title:

How Long at Job:
	*Please enter both Years and Months at current job.

Income:

How Long in This Line of Work:
	*Please enter both Years and Months.

Employer Phone:

Asset Information (Checking, Savings, 401k, etc)

Amount of Assets ($):

Source of Assets:

Amount of Assets ($):

Source of Assets:

New Mortgage

Will You be Escrowing on the New Loan?

Property Taxes:

Yes No

Insurance:

Yes No

Will You be Making a Down Payment? Yes No

If so, how much? $ - or - % of purchase

Will Your Current Residence be Sold
Before or Simultaneously with New Purchase?

What Type of Property do you Intend on Purchasing?

Other Info

How Long do you Plan on Living in the Home?

What is the Maximum Monthly Payment you Could Comfortably Afford? $

What Mortgage Program(s) Would you be Comfortable with (Check All That Apply)?
    30 Year Fixed
    Interest Only
    2, 3, or 5 Year ARM
    Negative Amortization (Option ARM)
    Not Sure

Credit Report

Will You Allow for Homes Mortgage to Access Your Credit Report?
Yes No

2127 County Road D East Maplewood, MN 55109

Email Us

Ph: (651) 204-0696
Fax: (651) 288-3805
Toll Free: (888) 804-0471