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Reliance Mortgage Loan Application

Reliance Mortgage Loan Application

Reliance Mortgage provides quick, simple way to receive free, multiple quotes from various lenders with no obligation. You will have the opportunity to compare quotes from multiple lenders for your home mortgage needs, assuring you that your receiving the markets best available rates and terms. We make the Home Mortgage process convenient, and easy while saving you time, money and aggravation.

Please answer all questions as completely as possible - complete and accurate information will help ensure rapid processing.

We respect your privacy. This is a confidential request and your personal information will only be used by Reliance Mortgage.

When form is complete click the submit button below.


Have you worked with one of our loan officers before? 
If yes, tell us the loan officer's  name: 

1. Loan Preferences

What is the purpose of your loan?

Select your preferred mortgage product:

What is the approximate loan amount you wish to borrow?
$

What is the purchase price of home or approximate value for a refinance?
$

If purchasing a new home you have identified, when is the closing date?

2. Credit

Please rate your credit:

Have you ever had a bankruptcy?

3. Assets & Liabilities

If you are purchasing a new home, please tell us your source of downpayment.

Assets

Approximate total liquid assets:
$

Total gift funds you will be receiving (if applicable):
$

Total proceeds from sale of home (if applicable):
$

Liabilities

Minimum monthly credit card payment:
$

Total monthly installment debts (car loans, student loans, personal loans):
$

Balance of current mortgage (primary residence):
$

Current mortgage payment:
$

Alimony/Child Support/Maintenance:
$

4. Employment & Income
Borrower Co-Borrower
Are you willing to document your income? Are you willing to document your income?
Employer's name: Employer's name:
Yearly income: Yearly income:
Length of current employment: Length of current employment:
years years
Self employed: Self employed:
Other income: Other income:
$ $

5. Property

Where is the subject property located (if known):

Street address:

City:

State:

Zip:
-

Property type:

Occupancy:

6. Borrower Information
     
First name: Middle initial: Last name:
Social Security #:
- -
Date of Birth:
//
Email address:
Street address:
City:
State:
Zip:
-
Do you own or rent?
Home phone (with area code):
( )  -
Business phone (with area code):
( )  -
Marital status:
 
Co-Borrower Information
     
First name: Middle initial: Last name:
Social Security #:
- -
Date of Birth:
//
Email address:
Street address:
City:
State:
Zip:
-
Do you own or rent?
Home phone (with area code):
( )  -
Business phone (with area code):
( )  -
Marital status:

7. Comments

Questions and comments:

 

 

I authorize Reliance Mortgage to verify credit and employment history?  

                                         

 

Submit loan application for processing after answering as many questions as possible. If you cannot answer all questions, submit a partially completed form and we will assist
you once we receive your information.

By submitting this application you agree to allow a loan officer of Reliance Mortgage to contact you.

You are not obligated to accept this loan even if your application is approved.