Please provide the following information:
Borrower:
Spouse:
Address:
Address Line 2:
City: State: Zip:
Daytime Phone: Evening Phone:
Date Purchased:
Value:
Purchase Price:
Type:
Existing First Mortgage is with :
Balance: Rate: %
Term: years
Monthly Payment:
2nd Mortgage is with:
Balance: Rate: %
Term: years
Monthly Payment:
Current Employer:
Position:
How Long have you been there: years
Gross Annual Income: $
Former Employer:
Position:
How Long have you been there: years
Gross Annual Income: $

Other Sources of Income:

What do you want to get out of your new loan?
What is your credit like?
Have you paid your mortgage or rent on time?    Yes         No
Other Comments:

 

 

 

 

First Atlantic Mortgage LLC of Georgia