Merlot Mortgage :: Short Application

Short Application

Our short application is an easy and fast way to request a mortgage. Please provide the following information.

Fill out all required fields for the Short Application

First Name:
Last Name:
Email Address:	(E-mail)
Home Phone:	(Phone Number)
Cell Phone:	(Phone Number)
Marital Status:
Are you a U.S. citizen?
Date of Birth:
Social Security or Tax ID #:
Number of Dependents:
Dependent Age(s):

Current Address
Street Address:
City:
State:
Zip:	(ZIP Code)
Years at this Address:
Rent or Own:

Subject Property
Purpose of Loan:	What the money from the loan is going to be used for.
Property Usage:
Loan Amount:
Present Value/Purchase Price:	If this is the Refi loan, enter the present value of the subject property. If this is a purchase loan, enter the purchase price of the subject property.
Number of Units:	The number of sparate living spaces in the subject property. If you are obtaining this loan for a single family home, the number of units is 1.
Year Built:
Subject Property Address:	The street address for the property of which you are obtaining the loan.
City:
State:
Zip:	(ZIP Code)

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.
Base Income:
Bonuses:
Commission:
Other Compensation:

Assets
Checking:
Savings:
Retirement Funds:
Mutual Funds:
Other:

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. The law provides that a lender may not discriminate on the basis of this information, or on whatever 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.
Sex:
Ethnicity:
Race:

Co-Borrower
Do you have a co-borrower?