Address of Property being Purchased
Has the seller accepted the contract?
Is the Property...
Will you use the property as...
Is this property a...
fee simple home?
Is there an association fee?
If yes, How much monthly?
Who is the Realtor that helped to complete the contract?
Company and Address
Who is the Realtor that had listed the property for sale?
Company and Address
Please complete this section if you have been with your current employer
for less than 2 years:
Please complete this section for a 2nd job or additional employers.
For this section, please only give approximate figures in each account area.
There is no need to give account numbers in which the monies reside. Any other liquid assets you feel are applicable:
Are any of the above stated funds not to be used for purchase of new real estate:
Do you have any potential gift monies coming from a family member?
What is their relationship to you?
If YES, what would the amount be?
The following debt information is a critical aspect of this financial analysis.
We will give you several general categories of possible revolving debt to fill in.
These may not be all-inclusive, so please use the 'other' section to include your
unique situation. Revolving debt is defined as any constant, monthly payments you
make. (ie: car payments, home equity loan, school loans, credit cards...) Please give both the current total balance of the debt as well as the current
Please continue with any other revolving debts you may have that do not fit
in the categories listed above:
Have you ever been previously married?
If YES, is there any alimony/child support, and how much on a monthly basis?
How long will payments continue ?
If you currently own will you be selling the property prior to buying the new
If you are selling/or will sell this property prior to your new purchase, what will the
approx. net proceeds equal?
If you are not selling this property, what will your total monthly cost be to maintain
it (ie: loan payments, taxes & Insurance)
If you own a second or third home please give the same info for them in the space
Will you occupy the new premises?
Have you in the last 7 years declared bankruptcy, suffered foreclosure, had an
account assigned for collection or had any legal action affecting your ability to
If, YES, explain below:
Are you a US citizen ?
If NO, are you a US Resident Alien?
Do you have Veteran's status ?
If YES, are you a reservist?
Is any part of the purchase price or settlement cost being obtained from a source
other than shown?
If you answered "YES" and the money in question is other than monies mentioned in
the gift section above, please describe below:
Please complete the following section to indicate your preference for your
financing. Your mortgage counselor will be calling you to answer any questions
and confirm your selections. At that time you will be given instructions on how to
lock in on current interest rates.
How long do you think that you will own the new home that you are financing?
15 or more years
What mortgage term do you prefer?
How many points are you considering?
What loan program are you considering?
1 year arm
3/1 year arm
5 or 7 year arm
5 or 7 year balloon
How much of a loan are you requesting?
Completing this information does not guarantee mortgage approval.
This should not be considered an extension of credit. I/We
hereby authorize Main Street Mortgage to obtain a credit report in my/our names, for mortgage application purposes only. The RESPA Act prohibits lenders from distributing credit reports to any third party.
Please run my credit
Do Not run my credit