A-Moneywise Financial Solutions

Use this form to request mortgage information.
Please fill out as much of this form as possible.
When finished click the "Submit Form" button.
If you prefer to speak to a loan officer please call us at ph# 720.333.6707

You may open a Uniform Residential Loan Application in a fillable PDF format and fax it in to our secure Electronic Fax System (866) 425.2604

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 representative. Please call us at the above number to lock-in rate and/or to have us answer any of your questions. A loan officer WILL contact you, prior to any credit report being requested. ***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.

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

Property To Be Purchased or Refinanced
Address:	Apt. or Unit# :
City:	State:	Zip:

IF REFINANCING FILL OUT THE FOLLOWING INFORMATION and then continue

When did you purchase?	yr. mo.
What was the 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 (if being Built)?	yr. mo.
What is the purchase price?	$
What is your down payment?	$
Do you own other properties?	Yes No	If so how many?

Personal Information
	Applicant	Co-Applicant
First Name
Last Name
Social Security Number
E-Mail
Home Phone
Fax
How would you rate your credit?
Are you married to the Co-Applicant?
Best time to contact you?

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

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

Employment History

Applicant

Co-Applicant

Employer Name

Gross Monthly Income ^{*Before taxes & deductions}

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

Comments

By submitting this on-line application, I/We authorize PTF Financial 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 720.333.6707 if you have any questions.

****YOU WILL BE CALLED PRIOR TO CREDIT BEING REQUESTED*****

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