SouthFloridaRealty.net - Specializing in finding the home to suit your lifestyle in the surroundings of your choice - Greater Ft. Lauderdale,Boca Raton,Coral Springs,Parkland,Coconut Creek,Deerfield Beach, Pompano Beach,Weston,Plantation,Hollywood,Pembrok

Use this form to request mortgage information.
Please fill out as much of this form as possible.
When finished click on the send button.
If you prefer to speak to a loan officer please call 954-426-5400

Notice: Filling out this form does not lock in rate nor guarantee rate protection of any kind. Loan applications must be confirmed verbally with a ReMax loan officer. Please call us at 954-253-0492 to lock-in rate and to have us answer any of your questions.

A loan officer may contact you. A phone number is required.

The information you enter on this form will be kept in strict confidence.

PLEASE DO NOT USE DOLLAR SIGNS ($)
OR COMMAS ( , ) WHEN ENTERING NUMBERS.

Loan Officer:

Property To Be Financed (if known)

Address:

Apt. or Unit# :

City:

State:

Zip:

IF REFINANCING PLEASE FILL OUT THE FOLLOWING INFORMATION

When did you purchase?	yr. mo.
How much did you pay?	$
Estimate the actual property value?	$

How much do you owe in your first mortgage?

How much is the monthly payment?

Are taxes and insurance included in your payment?	Yes No
How much is your annual insurance?	$
How much is your annual property tax?	$
Do you have any other debts on the property?	$
What is your current interest rate?	$
What is the monthly payment?	$

IF BUYING, PLEASE FILL OUT THE FOLLOWING INFORMATION

Do you already have a purchase agreement?	Yes No
How much is the purchase price?	$
How much is the maximum monthly payment do you want to pay?	$
How much money do you want to invest in closing cost and down payment?	$

Do you own any other property in the USA?	Yes No	If so how many?
Have you owned a property in the last 3 years?	Yes No	If so how many?

Personal Information

	Applicant	Co-Applicant
First Name
Last Name
Social Security Number
Date of Birth:
E-Mail
Home Phone
Fax
Present Address
City
Zip Code
Country
Are you a Citizen Resident Foreigner
How would you rate your credit?
Are you married to the Co-Applicant?
Best time to contact you?

Employment History

	Applicant	Co-Applicant
Employer Name
Gross Monthly Income*	$	$
Your Position (title)
Self-Employed	Yes No	Yes No
Length with Company	yrs. mos.	yrs. mos.
Phone Number

Previous Employer (if less than 2 yrs. at current)

Employer Name
Gross Monthly Income * Before taxes & deductions	$	$
Your Position
Length with Company	yrs. mos.	yrs. mos.
Phone Number

Comments:

By submitting this on-line application, I/We authorize ReMax to check such information as my/our credit, business and employment status and history. Submitting this application does not lock-in rate. Please call us at 954-426-5400 if you have any questions.

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