SunChase Mortgage E-Z Apply Loan Form

E-Z Apply Mortgage Info Request

TYPE OF MORTGAGE AND TERMS OF LOAN

* E-mail Address: ( * REQUIRED )

	Loan Applied For:	Standard	FHA	V.A.
	Second Mtg	Commercial	Special Post-Bankruptcy Program

Loan Type:

Fixed Rate

ARM

ARM or Fixed

PROPERTY INFORMATION AND PURPOSE OF LOAN

	Borrower's Address:
(Put TBD if purchasing)	Street:
(Put TBD if purchasing)	City, State, Zip:

Purpose Of Loan:
Purchase	Desired Price Range:	Loan Needed?
Refinance	Estimated Value of Your Home:

	Property Will Be:
	Primary Residence	Secondary Residence	Investment Property

BORROWER INFORMATION

	Enter Borrower's Name Below (include Jr. or Sr. if applicable)
	Full Name: ( * REQUIRED )
	Preferred Contact Phone #.:	Soc. Sec. No.:

	Marital Status: Married Separated Unmarried (includes single, divorced, widowed)
Employment Status: Employed Retired Receiving Benefits Other Income

Monthly Income Before Taxes:

Length of
Time on Job:

Please send me a professionally-prepared, FREE
Market Analysis on the value of my current or new home:
Yes N/A

SPECIAL INFORMATION YOU WANT US TO KNOW:

* Your Electronic Signature

All Fields Are Required For Verification.

*I certify that I am 21 years of age or older, I understand that giving false information may constitute a violation of law.

Please enter your first and last name as they appear on your driver's license or other official identification.

Borrower Name Last Name

*Date of Birth (mm-dd-yyyy) - -

"Pursuant to the Electronic Signatures in Global and National Commerce Act and to applicable state laws, I consent to use and reliance upon my electronic signature and understand that I may withdraw this consent at any time. A copy of my consent will be retained and, upon request, a copy will be made available to me." Upon actual origination of a mortgage, I understand I will be required to provide a copy of a valid driver's license or U.S. Passport and a copy of my Social Security Card, pursuant to the Patriot Act of 2003.

Please press the Submit Button below to send your application.
You will be contacted once preliminary information has been gathered and reviewed by this Branch.
Your loan will not be further processed until we have reviewed findings with you, and you approve proceeding with the loan.