Our Minimum loan amount is $50,000

 Purchase Information

Refinance Information

Purchase Price

$

Property Value $

Down Payment $ Available

$

Current Mtg Bal $

Loan Amount Requested

$

Loan Amount Requested $

Property Info

* Property Address

* City

* State         * Zip

* Property Use

Choose Primary Residence 2nd / Vacation Home Investment Property

 * Type of Home

Choose Single Family Home Single Wide mobile home HUD Code Double Wide Manufactured Modular Home 2 Unit or Duplex Condo

 Borrower:

Co-Borrower:

* First Name

* Last Name

* Social Security No.

* Phone Number

* Current Address

* City

* State

* Zip

* Email

 * Date of Birth

 * Time at Current Address

Are you married to

the Co-Applicant?

Choose No Co-Applicant Yes No

How would you rate your credit

Choose 9-10 Excellent Never any problems 6-8 Good No problems last 2 years 4-5 Less than perfect no problems last 1 year Minor problems now Major problems now

* Best Time to call

Employer & Income

* Job Title

 * Self Employed

Choose Yes No

Choose Yes No

* Length of time on job

yrs.      mos.

yrs.     mos.

  * Gross Monthly income

               (Before taxes)

$   OR

$    OR

Or

 Hourly Rate 

$   

Rate $     

Hours per week

Hours per week  

   Other Income:       Source

Source

Amount

$

Bank Name:

Amount: $

Bank Name:

Amount: $

Bank Name:

Amount: $

Retirement Account

Credit explanation or comments or additional information:

By clicking the Send Application below, you hereby authorize 1st Continental Mortgage to run a credit report on your behalf for the purpose of obtaining a mortgage loan; and you further agree that the information above is true and complete. 1st Continental Mortgage (or its agents) may receive from and disclose to other persons, including credit reporting agencies, information about Applicant's accounts and credit experience in connection with obtaining a mortgage loan.  Upon your request 1st Continental Mortgage (or its agents) will advise you whether a credit report was requested and if such a report was requested, we will inform you of the name and address of the credit reporting agency that furnished the report.