Mortgage Application - Steelpoint Mortgage, LLC.

Steelpoint Mortgage Secure Loan Application

The information you enter on this form will be kept in strict confidence and will not be shared with any third parties.

	Mortgage Type:	1st 2nd Home Equity
	Amount Requested:	$

Property To Be Financed (if known)
Address:	Apt. or Unit# :		How Many Units
City:	State:	Zip:

IF REFINANCING FILL OUT THE FOLLOWING INFORMATION

When did you purchase?	yr. mo.
What was the original purchase price?	$
What do you think it is worth today?	$
Do you own other properties?	Yes No	If so how many?

Existing Mortgages		1st Mortgage	2nd Mortgage
Please enter below the monthly information for:	Mgt. Balance	$	$
Taxes & Insurance Monthly Mortgage (Are taxes and insurance included in your payment? Yes)		$	$

IF PURCHASE FILL OUT THE FOLLOWING INFORMATION

When do you expect to purchase?	yr. mo.
When will home be completed?	yr. mo.
What is the purchase price?	$
What is your down payment?	$ (Enter 0 for 100% financing)
Do you own other properties?	Yes No	If so how many?

Personal Information
	Applicant	Co-Applicant
First Name
Last Name
Social Security Number
Date of Birth
Home Phone
Work Phone
How would you rate your credit?
Are you married to the Co-Applicant?
Best time to contact you?

E-Mail

Current Address
Did you?	How long?	yrs. mo
Address:
Apt. or Unit# :	Monthly Payment
City:
State:
Zip:

Previous Address (if less than 2 yrs. at current)
Did you?	How long?	yrs. mo
Address:
Apt. or Unit#:	Monthly Payment
City:
State:
Zip:

Employment History

Applicant

Co-Applicant

Employer Name

Gross Annual Income*

Your Position (title)

Self-Employed

Yes No

Length with Company

yrs. mos.

Phone Number

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

Employer Name

Gross Monthly Income

Your Position

Length of time with Company

yrs. mos.

Phone Number

Asset Information

Applicant

Co-Applicant

Checking Account Bank Name

Checking Average Balance

Savings Account Bank Name

Savings Average balance

Retirement Account Balance

Other Assets

Comments / Additional Details

By submitting this on-line application, I/We authorize Steelpoint Mortgage, LLC 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 508.453.4766 or toll-free 866.825.1530 if you have any questions. Thank You.