Loan Application

We provide fast mortgage approvals with our online mortgage process. Your APPLICATION will be placed in top priority processing and receive immediate attention.
1.
 Use this form to provide information.

2.

Please fill out as many fields as possible, more information improves the accuracy of the APPLICATION. Bold fields are required.
3.
When finished, click on the send button to process your APPLICATION.

Notice
Mortage applications secured by property located outside the Southwest Virginia/East Tennessee market area will not be accepted.

Amount
$ Please use commas and whole dollar amounts.
No. of Months
Subject Property Address (street, city, state, & zip code)
Purpose of Loan: Purchase
Refinance 		Construction
Construction-Permanent
Other
Complete this if this is a refinance loan.
Year Aquired
Original Cost

$
Please use commas.
Amount
Existing Liens
$
Please use commas.
Purpose of Refinance

Describe
Improvements
made
to be made
Cost: $
Please use commas.

Borrower Information Co-Borrower (if applicable)
Borrower's First Name: Co-borrower's First Name:
Last Name: Last Name:
Home Phone: - - Home Phone: - -
Social Security #: - - Social Security #: - -
Present Address:

state Zip
Present Address:

state: Zip code:
own
rent
no. of years 		own
rent
no. of years
age
yrs school 		Married
Separated
Unmarried (includes single,divorced, widowed)		 age
yrs school 		Married
Separated
Unmarried (includes single,divorced, widowed)
E-mail Address: E-mail Address:
Fax: - - Fax: - -
Best Way to Contact You:
 E-mail
Home Phone
Business Phone
Fax		 Best Way to Contact You:
 E-mail
Home Phone
Business Phone
Fax
Employer: Employer:
No. of Years: No. of Years:
Monthly Income: $ Please use commas. Monthly Income: $ Please use commas.
Work Phone: - - Work Phone: - -

If employed in current position for less than two years or if currently employed in more than one position, complete the following.
1. Name and address of employer:

self employed
Dates
Monthly Income
2. Name and address of employer:


self employed
Dates
Monthly Income

By submitting this Application, I/We authorize The Lender to verify information pertaining to my/our credit and employment status and histories.
Yes, I authorize Four Leaf Financial to verify my information
additional comments:

 
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