Bottomline Mortgage - Home Refinancing, Home Loans, Refinance, Home Equity Loans, Mortgage Loans and Debt Consolidation Loans

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SHORT APPLICATION

Are you submitting an individual or joint application?

Purpose of this loan?

Desired Loan Amount? $ .00

What term of home loan are you looking for?

Primary Applicant's Information

First Name :

Middle Initial:

Last Name:

Current Street Address :

City:

State:

Zip Code:

Home Phone: ( )

Work Phone: ( )

Cellular Phone (optional): ( )

Best time to call?

Date of Birth (mm/dd/yyyy) / /

Marital Status:

Email Address:

Primary Applicant's Employment Status:

Employer:

Time on Job: Year(s), Month(s)

Salary: $ .00

Years in same line of work? Year(s), Month(s)

Other Source of Income? $ .00

My credit rating is:

Co-Applicant's Information:

First Name:

Middle Initial:

Last Name:

Co-Applicant's Employment Status:

Employer:

Time on Job : Year(s), Month(s)

Salary $ .00

Years in same line of work? Year(s), Month(s)

Other Source of Income? $ .00

Co-Applicant's credit rating is:

Property Information:

Do you rent or own your current residence?

Time at Residence? Year(s), Month(s)

Is the Property a?

Property Type?

Number of units?

What year was the property built?

First mortgage outstanding balance? $ .00

First mortgage monthly payment? $ .00

First mortgage loan type?

First mortgage rate? %

Do you have a second and/or third mortgage(s) on your home?

If yes, what is the total current balance on all second and/or third mortgage(s)? $ .00

Original Purchase Price? $ .00

Estimated Current Value? $ .00

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