Application

 

 > Print an application to fax, click here.
Please complete form and submit.  Fields in Red are required to process your loan application.
Borrower Information
Borrower   Co-Borrower  
Date of Birth Date of Birth
SS#   SS#  
Education Level Education Level
US Citizen Yes No US Citizen Yes No
Email Email
Phone (H) (W) Phone (H) (W)
Current Address Current Address
City City
State State
Zip Code Zip Code
Years at Address Years at Address
Best Time To Reach Me: Best Time To Reach Me:
Please Contact Me By: Phone E-mail Please Contact Me By: Phone E-mail
Property Information
Property Type
Property Address
City
State
Zip Code
Does the Property Have Drinkable Water Yes No
Does the Property Have Sewer/Septic Approval Yes No
Purchase Price $
Date of Purchase
Current Market Value $
Will Existing Home be Kept  Sold  No Current Home
Is Any of Your Down Payment Borrowed Yes No  
How Much Down Payment Do You Have $
Employment Information
Borrower  Co-Borrower 
Employer   Employer  
Employer Address Employer Address
Years at Job   Years at Job  
Position   Position  
Gross Salary   Gross Salary  
Per Per
Hour Worked Per Week Hour Worked Per Week
Commission $ Commission $
Bonus $ Bonus $
Assets & Liabilities
Bank Name
Account Number
Current Balance
Mortgage Lender / Landlord
Monthly Payment $
Current Balance $
Other Asset
Value $
Other Asset
Value $
Automobiles
Make / Model   Year  
Lender  Monthly Payment
Method     Own Purchase  Lease Balance  
Make / Model   Year  
Lender  Monthly Payment
Method     Own Purchase  Lease Balance  
Credit Cards
Bank Name   Bank Name  
Payment Payment
Balance   Balance  
Bank Name   Bank Name  
Payment Payment
Balance   Balance  
Credit History
Have you had a foreclosure?  Yes No
Do you have any outstanding judgments?  Yes No Amount $
Have you had a bankruptcy?  Yes No Type
Year Filed Discharge Date
Are you obligated to pay alimony and/or child support?
Yes No		 Monthly Amount $
Do you receive alimony and/or child support?
Yes No		 Monthly Amount $
Have you had difficulty with credit or have you ever filed for bankruptcy in the last 10 years?   Yes No
If yes, please explain:
Authorization to Release Credit Information
I authorize Magellan and/or assigns to obtain my/our credit report and/or any additional individual information to determine credit worthiness.  The information that is obtained is strictly confidential.  A photocopy or facsimile of this authorization may be deemed to be the equivalent of the original.  This Pre-Qualification is not a loan application.  Your loan application will begin upon receipt of a signed 1003 loan application and disclosures.
Borrower  Co-Borrower 
I agree to Credit Authorization  Agree Disagree  I agree to Credit Authorization  Agree Disagree 
         
 
503.581.2029  Phone
503.581.1948  Fax
Equal Housing Lender

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