1 Contact Info 2 Type of Mortgage and Period of Loan 3 Current Living 4 Borrower Employment Information 5 Assets 6 Liabilities 7 Declarations Borrower 8 Borrower Information for Government Monitoring 9 Co-Borrower Information 10 Co-Borrower Employment Information 11 Declarations Co-Borrower 12 Co-Borrower Information for Government Monitoring 13 Signers 14 Privacy Policy How can we contact you? Let's start with a little information about you. First Name * Required Middle Name Required Last Name * Required Email Address * Required Confirm Email Address * Required Address Line 1 * Required Address Line 2 City * Required State * Required Please select a state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Northern Mariana Islands Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington U.S. Virgin Islands West Virginia Wisconsin Wyoming Zip * Required Date of Birth *Invalid Date Social Security Number *Required Phone Number *Required Type of Mortgage and Period of Loan Please Fill in all required questions Are you applying * Required Select Jointly Individual Amount * Required $ Term Required Select 10 yrs 15 yrs 20 yrs 25 yrs 30 yrs Subject Property Address (if Pre-Approval, type "Pre-Approval") * Required Purpose of Loan * Required Select Purchase Refinance Pre-approval Other Property Will be * Required Select Primary Residence Secondary Residence Investment Down Payment Amount Required Select 0% 5% 10% 15% 20% 25% 30% 35% 40+% Current Living Please answer all the questions. Marital Status * Required Select Married(includes registered domestic partners) Unmarried (includes single, divorced, widowed) Seperated Number of Dependents (not listed by Co-Applicant) Required Do you Rent or Own Current Address * Required Select Rent Own Number of Years at Current Address * Required Name of Current Landlord/Creditor * Required Amount of current payment/rent * Required $ Mailing Address if different from Present Address Required Former Address if less than 2 years at Present Address Required Did you Own or Rent your former Address Required Select Rented Owned Number of years at Former Address Required Borrower Employment Information Please answer all the questions. Employer/Source of Income * Required Monthly Income * Required $ Number of years on this Job * Required Self Employed * Required Select Yes No Additional Income Required Monthly Income Required $ Additional Income Required Monthly Income Required $ Assets Please complete all relevant questions Financial Institution Required Current Balance Required $ Financial Institution Required Current Balance Required $ Financial Institution Required Current Balance Required $ Financial Institution Required Current Balance Required $ Stocks & Bonds (Total Value) Required $ Life insurance Cash Value Required $ Net worth of business(es) owned Required $ Total Value of Automobiles Required $ Other Assets Required $ Liabilities List the creditor's name for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans,stock pledges Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Name of Creditor Required Payment Required $ Declarations Borrower Please answer all the questions. Are there any outstanding judgments against you? * Required Select Yes No Have you been declared bankrupt within the past 7 years? * Required Select Yes No Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? * Required Select Yes No Are you a party to a law suit? * Required Select Yes No Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, ... * Required Select Yes No Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? * Required Select Yes No Are you obligated to pay alimony, child support, or separate maintenance? * Required Select Yes No Is any part of the down payment borrowed? * Required Select Yes No Are you a co-maker or endorser on a note? * Required Select Yes No Are you a U.S. citizen? * Required Select Yes No Are you a permanent resident alien? * Required Select Yes No Do you intend to occupy the property as your primary residence? * Required Select Yes No Have you had an ownership interest in a property in the last three years? Required Select Yes No What type of property did you own? Required Select Principal Residence Second Home Investment Property How did you hold title to the home Required Select Self Jointly with your spouse Jointly with another Person Borrower Information for Government Monitoring Please answer all the questions. Ethnicity * Required Select Hispanic or Latino Not Hispanic or Latino I do not wish to Furnish this Information Race * Required Select American Indian or Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander White I do not wish to Furnish this Information Sex * Required Select Male Female I do not wish to Furnish this Information Co-Borrower Information Only Complete if there is a Co-Applicant Marital Status Required Select Married(includes registered domestic partners) Unmarried (includes single, divorced, widowed) Seperated Number of Dependents (not listed by Applicant) Required Do you Rent or Own Present Address Required Select Rented Owned Number of Years at Present Address Required Name of current Landlord/Creditor Required Amount of current payment/rent Required Mailing Address if different from Present Address Required Former Address if less than 2 years at Present Address Required Did you Own or Rent your former Address Required Select Rented Owned Number of years at Former Address Required Co-Borrower Employment Information If employed in current position for less than two years or if currently employed in more than one position, complete more than 1 employer Employer/Source of Income Required Monthly Income Required $ Number of years on this Job Required Self Employed Required Select Yes No Additional Income Required Monthly Income Required $ Additional Income Required Monthly Income Required $ Declarations Co-Borrower Please answer all the questions. Are there any outstanding judgments against you? Required Select Yes No Have you been declared bankrupt within the past 7 years? Required Select Yes No Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? Required Select Yes No Are you a party to a law suit? Required Select Yes No Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, ... Required Select Yes No Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? Required Select Yes No Are you obligated to pay alimony, child support, or separate maintenance? Required Select Yes No Is any part of the down payment borrowed? Required Select Yes No Are you a co-maker or endorser on a note? Required Select Yes No Are you a U.S. citizen? Required Select Yes No Are you a permanent resident alien? Required Select Yes No Do you intend to occupy the property as your primary residence? Required Select Yes No Have you had an ownership interest in a property in the last three years? Required Select Yes No What type of property did you own? Required Select Principal Residence Second Home Investment Property How did you hold title to the home Required Select Self Jointly with your spouse Jointly with another Person Co-Borrower Information for Government Monitoring Please answer all the questions. Ethnicity Required Select Hispanic or Latino Not Hispanic or Latino I do not wish to Furnish this Information Race Required Select American Indian or Alaska Native Asian Black or African American Native Hawaiian or other Pacific Islander White I do not wish to Furnish this Information Sex Required Select Male Female I do not wish to Furnish this Information Additional Signers Create and assign signers for signature roles. Add Signer Applicant Borrower * Required Select a signer None/Not Applicable Co-Applicant Co-Borrower * Required Select a signer None/Not Applicable All Signers Privacy Policy Please read and accept the privacy policy to continue. Accept Privacy Policy You're done! Thank you for completing your application! You can now begin signing your closing documents. Thank you for completing your application!Your financial institution is reviewing your application and will contact you for the next steps.You can now safely close your browser window or tab. Thank you for your submission! Your financial institution will contact you for the next steps.You can now safely close your browser window or tab. © Copyright 2024 Epic River Financial, Inc. All rights reserved. Version 23.4.3.17