Home Loan Application
First Brevard Corporation 3600 N. Harbor City Blvd. Melbourne, FL 32935 Phone (321) 757-7367 Fax (321) 757-0952 EMail firstbrevard@cfl.rr.com
Name ...SS#
Email Address
Home Phone ......# of Dependents
Current Residence
Street
City State Zip #Yrs
Fill in Below if You Currently Rent
Rent ......Monthly Amount
Fill in Below if You Currently Own
Own ...
(If property is owned) Market Value Amount of Mortgage
Lender Name
This property will be sold for this transaction
(All figures below should be monthly amounts) .P&I ............. Other P&I .
.Hazard Ins. Taxes.......
.HOA Dues. Mtg Ins....
You intend to rent this property to someone. ....Monthly Amount
Current Employment
Employer .....Business Phone
Self-Employed .....Years On Job
(All Income figures should be monthly amounts) Income/Salary ..Overtime ..Bonuses ..Commissions
Previous Employment (If less than 2 years at current job fill in below)
Employer
Self-Employed .........Employed From To (Must be dd/mm/yy)
Monthly Income
Other Monthly Income
Alimony ...Child Support
Other (ie Soc. Sec. Income, Retirement, Interest, Dividends, Disibility etc)
Alimony/Child Support Paid
Alimony ....To Whom
Child Support ....To Whom
Name AASS#
Current Residence (Fill in only if different from Borrower's)
Employer ....Business Phone
(Note you must have enough liquid assets to to pay the points and closing costs for this loan.)
Total Cash in Bank ...Total Stock Value ..Cash Deposit
Gift Funds
(Do not include current residence)
1) Address
P&I Taxes,Hazard,MI Gross Monthly Rental Income
Market Value Amount of Mortgage
2) Address
3) Address
4) Address
............................................................................. Borrower.....Co-Borrower
1) Are there any outstanding judgments against you?............... No Yes .... No Yes
2) Have you declared bankruptcy in the last 7 years? No Yes .... No Yes
3) Have you foreclosed on any property in the last 7 years? No Yes .... No Yes
4) Are you a party to a lawsuit? .............................................. .. No Yes .... No Yes
5) Have you directly or indirectly been obligated on any loan which resulted in foreclosure? ................................................... . No Yes .... No Yes
6) Are you presently delinquent or in default on any Federal debt? No Yes .... No Yes
7) Are you obligated to pay alimony or child support?................. No Yes .... No Yes
8) Is any part of the down payment borrowed? .......................... No Yes .... No Yes
9) Are you a co-maker on a note? ............................................ . No Yes .... No Yes
10) Are you a US citizen? ........................................................ . Yes No .... Yes No
11) Are you a permanent resident alien? .................................... . No Yes .... No Yes
12) Do you intend to occupy the property? ................................ Yes No .... Yes No
13) Have you had an ownership interest in a property in the last 3 years? ................................................................................... . No Yes .... No Yes
What type of property? (PR-Principal Residence, SH-2nd Home, IP-Investment Property) ................................... PR SH IP ...... PR SH IP
How did you hold title? (S-Solely by yourself, SP-Jointly with spouse, O-Jointly with another person).............. S SP O ...... S SP O
Borrower
I do not wish to furnish this Information.
Race/Nationality: American Indian, Alaskan Native.. Asian, Pacific Island
Black.. Hispanic.. White .. Other : Specify
Sex:.. Male Female
Co-Borrower
Property will be: ..Primary Residence.. 2nd Home ..Investor
You Intend to Purchase the Property
Purchase Price ...Down Payment (Defaults to 5% of Purchase).
If You Intend to Refinance, Check Which Property Below
Current Residence....................Co-Borrower's Current Residence
Other Real Estate #1 ............... Other Real Estate #2
Other Real Estate #3 ............... Other Real Estate #4
Purpose of Refinance: 1 Change in Rate 2 Cash Out 3 Home Improvement 4 Debt Consolidation 5 Change in Loan Type
Property Address to Purchase or Refinance:
City State Zip # of Units
Property Type 1 - Detached 2 - Attached 3 - Condo 4 - PUD 5 - Co-Op 6 - Other 7 - High Rise Condo
Your goal with this loan:
I don't mind paying closing costs and I will pay 1 point.
I don't mind paying closing costs, but I do not want to pay any points.
I do not want to pay any closing costs or any points.
Term of Loan ..30 Yr.. 15 Yr
This is the First Time Submitting this Application..
There was a Problem with the First Submission and this is the 2nd..
Push the Button below to submit the Loan Application.
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