* Applicant's
Name:
* Applicant's
Social Security Number:
* Applicant's
date of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
(ex. 1999)
Co-applicant:
Co-applicant's Social Security Number:
Co-applicant's Date of Birth:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
(ex. 1999)
* Email:
What is
your current mailing address?
* Address
1:
Address 2:
* City:
* State:
Select
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
* Zip:
* Home
Phone:
Work Phone:
* Best
Time to contact you:
Please Choose Best Time
Morning at Home
Morning at Work
Afternoon at Home
Afternoon at Work
Evening at Home
Evening at Work
Which mortgage(s)
would you like to refinance?
My 1st mortgage
My 2nd mortgage
My 1st and 2nd mortgages
Other
* What
is your primary goal?
Select One
Reduce My Monthly Payment
Reduce My Mortgage Term
Receive Cash at Closing
How much cash do you want to take out
of the property, over and above the balance of the loan?
* What
type of home are you refinancing?
Select One
Primary - Single Family
Primary - Condo
Primary - Mobile Home
Primary - Townhome
2nd Home - Condo
2nd Home - Mobile Home
2nd Home/Vacation - Single
Family
2nd Home - Townhome
Investment - Condo
Investment - Mobile Home
Investment - Townhome
* When
did you purchase it?
January
February
March
April
May
June
July
August
September
October
November
December
(ex. 1999)
* Price
Originally paid for this property?
* Please
estimate your home's current value:
Please tell us about your
employment
Borrower
Co-borrower
Self Employed?
Self Employed?
* Employer:
Employer:
* Position/Job
Title:
Position/Job Title:
* How
Long have you been working there? (Yrs/Mths)
/
How Long have you been
/
* Income:
Select One
Annually
Monthly
Income:
Select One
Annually
Monthly
Overtime:
Overtime:
Bonuses:
Bonuses:
Commissions:
Commissions:
Other Income:
Other Income:
Tell us about
your assets
Checking Monthly Avg.:
Stocks/Mutual Funds/Bonds/Options:
CD/Money Market:
Savings:
Other Asset(s) Describe:
Value:
Number of Vehicles:
Year:
Model:
Year:
Model:
401k/IRA/Retirement:
401k/IRA/Retirement:
Tell us about your combined
liabilities
Monthly Payment
Unpaid Balance
Credit Cards:
Total:
Auto Loans:
Total:
Other Loans:
Total:
Other Liabilities (Child support,
Alimony, etc):
Total:
* The
loan balance on your 1st mortgage is:
* What
is your current monthly payment?
* What
is your current interest rate?
%
* Your
current mortgage term is:
Select One
Fixed Rate Mortgage
Adjustable Rate Mortgage
FHA/VA Mortgage
ARM Interest Only Program
Other
Is your current mortgage an FHA or
a VA Loan?
No
VA
FHA
* Does your mortgage payment include
property taxes and mortgage insurance? (Escrow)
Select One
Yes
No
If you have a 2nd mortgage, what is
the current balance?
Monthly Payment:
* Is
the address of the property you are refinancing the same as your
mailing address?
Select One
Yes
No
If not,
please enter it in the comments section.
* Is
there a pre-pay penalty on your current contract?
Select One
Yes
No
* Please
estimate your credit history:
Select One
Excellent
Good, Some Lates
Some Problems
Major Problems
* Have
you had a foreclosure or filed bankruptcy in the last 7 yrs?
Select One
No
1 Year Ago
2 Years Ago
3 Years Ago
4 Years Ago
5 Years Ago
6 Years Ago
7 Years Ago
* Do
you currently have any tax liens or judgments against you or your
property?
Select One
Yes
No
Select the statement that best describes what you need from our
service:
I need a loan - I am interested and ready
I am currently working
with a lender, but am looking at other options.
I would like a personalized rate quote detailing my loan
options.
I am interested in seeing multiple loan programs that apply to
my situation.
Are you currently working with a
Loan Originator ? If yes, who?
Select One
Ramon Morales
James Stegall
Terry Brents
Ron Janeway
Sheila Janeway
Please take a moment to tell us any
additional comments/information. This helps us in determining the
best loan program for you:
Submitting this application form does
not obligate you to accept any loan you have been approved for, and
it does not constitute a rate lock with Summit Mortgage
Corporation . The information submitted will remain confidential
and will only be used by us to determine the best loan program for
you.
* How
did you hear about us?
Select One
Banner
Referral (friend or relative)
Referral (other Internet site)
Search Engine
word of mouth
Other
* I/we
agree to the terms* I/we accept the Application Agreement
contained herein, and understand that one of your Specialists will
contact me/us to verify this information and confirm my/our
participation in any of your programs.
See our
Application Agreement
Customer
ID Notice
Note: Fields with
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