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OFFERING NEW HOME, REFINANCING, CONSTRUCTION LOANS SINCE 1987
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Loan Information Form

Instructions:

  1. Use this form to request mortgage information.
  2. Please fill out as much of this form as possible.
  3. When finished, click on the send button.

A loan offficer will contact you. A phone number is required.

General Information

Borrower Co-borrower (if different)
Full Name: 
Street Address: 
City: 
State & Zip:           
Home Phone: 
Work Phone: 
Best Time to Contact: 
E-mail: 
Social Security #: 
Employer: 
Employer's Phone: 
Are you self-employed?  Yes No Yes No
Length of Employment: 
Gross Monthly Income:  $ $
Date of Birth: 
My credit history is:  excellent
good, but some lates
some credit problems
major credit problems
don't know
excellent
good, but some lates
some credit problems
major credit problems
don't know


Loan Request

Amount Requested: 
Type of Loan: 


Property Information

(This information needs to be filled out for property that is collateral for the loan)


Street Address: 
City, State & Zip Code: 
Estimated Present Value: 
Year Purchased: 
Original Price: 
Type of Property:  Primary Secondary/Vacation Investment
Purchase Amount: 


Loan Information

Mortgage Balances      Amount: Held by:   Payment:
First    $ $
Second    $ $
Other    $ $


Creditors   Amount Owed   Monthly Payment Will you pay this off?
$ $ Yes No
$ $ Yes No
$ $ Yes No
$ $ Yes No


Other monthly debts and information - please describe

How did you find out about this web site?



By submitting this on-line application, I/we authorize BALTCOR REAL ESTATE FINANCE to check such things as my/our credit, business and employment status and histories.

Please review the information you've filled out and, when finished, hit the "Submit Request" button only once.

    

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Reproduction or redistribution in any form is prohibited without prior consent.