Apply today for a Home Loan and let Realty4Less Mortgage help you obtain the best mortgage rates and terms for your next purchase or refinance. A Loan Officer will get back to you as quickly as possible with your results! If you would rather print off a copy and Mail or Fax it just open this pdf. file Loan Application Kansas Broker KS MC.0001807
RESIDENTIAL MORTGAGE INFORMATION QUOTE SHEET
Borrower Name
Borrower Social Security Number
Borrower Date of Birth
Co-Borrower Name
Co-Borrower Social Security Number
Co-Borrower Date of Birth
Home Phone
Cell Phone
Email Address
TYPE OF LOAN
Loan Type	New Purchase Refinance
Loan Type	FHA VA Conventional Not Sure
Length of Mortgage	5 Year 10 Year 15 Year 20 Year 30 Year 40 Year 50 Year
Interest Type	Fixed Rate Adjustable
PROPERTY INFORMATION
Current Address
Length of Residence (Own vs Rent)
Rents Paid on Time/House Payments Paid On Time	Yes No
Rent Amount or Current Home Payment
BANK ACCOUNT INFORMATION
Approximate Checking Balance
Approximate Savings Balance
Approximate Retirement Balance
EMPLOYMENT HISTORY
Borrower Employer
Length of Employment
Position
Monthly/Hourlly Income
Co-Borrower Employer
Co-Borrower Length of Employment
Co-Borrower Position
Co-Borrower Monthly/Hourly Income
Down Payment Available?	None 5% 10% 20% More
Filed Bankrupty in last 7 years?	Yes No
HOME PURCHASE
How much home would you like to Qualify for?
Do you have a School System or Area of Town you are looking for?
The Home Must Have _______ Bedrooms	1 2 3 4 5 6
The Home Must Have ____ Bathrooms	1 2 3 4 5
The Home Must Have ___ Garage	1 2 3 4 5
I Must Have	Fireplace Sprinkler System Well Walk In Closets Juzzi Tub Other
I would like to:
By Checking here you authorize Realty4Less Mortgage to run your credit to get you pre-qualified for you loan. There is no fee for this service.	Yes No
Preferred Method of Contact	Email Work Phone Home Phone Cell Phone Fax
Comments

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