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Quick Loan Application...

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INDMTG.COMQuick Loan Application  
Account Setup Information
Purchase Price or Estimated Value $ 
Loan Amount $ 
Potential Property Information (The proposed mortgage property)
Street Address (if known)  
City  
State  
Zip Code (if known)  
Property Type  
Property Use Primary Residence
Secondary Residence
Investment Property
Monthly Real Estate Taxes  
Monthly Association Dues/
Monthly Maintenance		  
Borrower Information
Last Name  
First Name and M.I.  
Social Security #  
Marital Status Married
Unmarried
Separated
Own/Rent Own  Rent  Living Rent Free 
Years At Present Address  
Present Street Address  
City  
State  
Zip Code  
Work Phone #
(Including area code)		  
Home Phone #
(Including area code)		  
Cell Phone #
(Including area code)		  
E-Mail Address  
Estimated Credit Rating  
Co-Borrower Information
Last Name  
First Name and M.I.  
Social Security #  
Marital Status Married
Unmarried
Separated
Own/Rent Own  Rent  Living Rent Free 
Years At Present Address  
Present Street Address  
City  
State  
Zip Code  
Work Phone #
(Including area code)		  
Home Phone #
(Including area code)		  
Cell Phone #
(Including area code)		  
E-Mail Address  
Estimated Credit Rating  
Previous Address Within The Last 2 Years
Street Address  
City  
State  
Zip Code  
Employment Information
Self-employed or Independent Contractor (1099)     Yes  No 
Monthly Gross Income  
Liquid Assets
Checking  $ 
Savings  $ 
Stocks & Bonds  $ 
Declarations / Government Monitoring Information
Bankruptcy (past 7 years)     Yes  No 
Foreclosure (past 7 years)     Yes  No 
Federal Delinquency/Lien     Yes  No 


Please review the following disclosures. If you are in agreement please complete your application by clicking on the button at the bottom of the page.

The applicant(s) specifically acknowledge(s) and agree(s) that:

  • The loan requested will be secured by a first mortgage or deed of trust on the property described herein;
  • The property will not be used for any illegal or prohibited purpose or use;
  • All statements made in this application are made for the purpose of obtaining the loan indicated herein;
  • Occupation of the property will be as indicated above;
  • Verification or re-verification of any information contained in the application may be made at any time by the Lender, its agents, successors or assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved;
  • The Lender, its agents, successors or assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing;
  • The Lender, its agents, successors or assigns make no representations or warranties, expressed or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property;
  • Authorization is given to PeruHogares.com and mortgage partners of BCP to obtain my/our credit report.

Certification: I/We certify that the information provide in this application is true and correct and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.


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