Personal Info










    format mm/dd/yy


    Current Address






    Years Months


    Subject Property











    Monthly Income


    Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification
    purposes





    Assets






    Information for Government Monitoring Purposes

    The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.



    I do not wish to furnish this information



    MaleFemale



    Hispanic or LatinoNot Hispanic or Latino



    American Indian or Alaska Native
    Asian
    Black or African American
    Native Hawaiian or Other Pacific Islander
    White


    Privacy Policy:
    We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.


    We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency.


    We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law.



    I accept the terms of the privacy policy

    CoBorrower



    YESNO