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James Breazeale
Pam Gravlee
Rashona Barr
Bailey Pepper
Christina “CJ” Phillips
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Full Application
Get Started
with our Full Application
As you complete the application, please use your best estimate if you don't have proper documentation.
You will need documentation for all borrowers, including:
• Social
Security
Number
• Contact and employment information
• Best estimates of income, assets, and
liabilities
After you have finished we will contact you to:
• Guide you through the loan process
• Complete your loan application package
• Help you select the best program and
interest
rate
This is a secured application - your browser should show https: or a lock in your browser toolbar.
Borrower First Name
*
Borrower Middle Initial
*
Borrower Last Name
*
Borrower Email
*
Enter Email
Confirm Email
Privacy Policy
*
I accept the terms of the 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.
Loan Information
Purpose of Loan
*
Purchase
Refinance
Purchase Price $
*
Estimated Property Value $
*
Loan Amount Requested $
*
The amount you want to borrow.
Do you have an executed contract?
Yes
No
Please select yes if you have submitted an offer to purchase the property in question.
Amount of
Down Payment
$
Estimated Amount of Money Down
Source of Down Payment
Savings
Sale of Home
Gift
401K Retirement Plan
Other
Subject Property Address
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Personal Information
Social Security #
*
Date of Birth
*
Date Format: MM slash DD slash YYYY
Marital Status
Married
Unmarried
Separated
Home Phone or Cell Phone
*
Number of Dependents
Current Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Length at Current Address
Years
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
0
1
2
3
4
5
6
7
8
9
10
11
Previous Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Length at Previous Address
Years at Previous Address
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months at Previous Address
*
0
1
2
3
4
5
6
7
8
9
10
11
Employment and Income
Are You Currently Employed?
*
Yes
No
Current Employer Name
*
Position
*
Self-employed?
*
Yes
No
How Long with Current Employer?
Years
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
Previous Employer:
*
Previous Employer Position:
*
How Long with Previous Employer?
Years
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
Monthly Base Income Before Taxes $
*
Gross Monthly Income
Monthly Average Overtime $
Estimated overtime if applicable
Monthly Average Bonuses $
Estimated monthly bonuses if applicable
Monthly Average Commission $
Estimated monthly commission if applicable
Other Income
Alimony, child support, or separate maintenance income need not be revealed if the applicant does not choose to have it considered for repaying the loan.
Other Income Source
Monthly Income $
Asset Details
Please provide information about your
asset
accounts. These may include Checking, Savings, Money Markets, Retirement Accounts, etc.
Account /
Asset
Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Enter Another Account?
Yes
No
Account / Asset Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Enter Another Account?
Yes
No
Account / Asset Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Monthly Housing Expenses
Please provide total housing expenses. Include expenses for the current residence only.
Do you rent or own your home?
*
Rent
Own
Rent $
*
Mortgage
Payment $
*
monthly
mortgage
payment
Does the payment include taxes and insurance?
Yes
No
Declarations
Are there any outstanding judgements against you?
*
Yes
No
Have you been declared bankruptcy within the past 7 years?
*
Yes
No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
*
Yes
No
Are you a party to a lawsuit?
*
Yes
No
Have you been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
*
Yes
No
Are you presently delinquent or in default on any Federal debt or any other loans?
*
Yes
No
Are you obligated to pay alimony, child support, or separate maintenance?
*
Yes
No
Amount Paid Monthly
Is any part of the
down payment
borrowed?
*
Yes
No
Are you a co-maker or endorser on a
note
?
*
Yes
No
Are you a U.S. citizen?
*
Yes
No
Are you a permanent resident alien?
*
Yes
No
Do you intend to occupy the property as your primary residence?
*
Yes
No
Have you had an ownership interest in a property in the last three years?
*
Yes
No
What type of property did you own?
Principal Residence
Second Home
Investment Property
Information for Government Monitoring
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.
Option
I do not wish to furnish this information
Sex
*
Male
Female
Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Race
*
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
White
Co-Borrower Information
Do you have a co-borrower?
*
Yes
No
A co-borrower is someone who, along with you, accepts responsibility for repaying the loan.
Co-Borrower First Name
*
Co-Borrower Middle Initial
Co-Borrower Last Name
*
Co-Borrower Date of Birth
*
Date Format: MM slash DD slash YYYY
Co-Borrower Social Security #
*
Current address same as borrower?
*
Yes
No
Current Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Length at Current Address
Years
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
0
1
2
3
4
5
6
7
8
9
10
11
Length at Previous Address
Previous Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Years at Previous Address
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months at Previous Address
*
0
1
2
3
4
5
6
7
8
9
10
11
Employment and Income
Are You Currently Employed?
*
Yes
No
Employment Information
Please enter employment information for the past 2 years.
Current Employer Name (Co-Borrower)
*
Position (Co-Borrower)
Self-employed? (Co-Borrower)
*
Yes
No
How Long with Current Employer?
Years
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
11
Previous Employer:
Previous Employer Position:
How Long with Previous Employer?
Years
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 or more
Months
*
0
1
2
3
4
5
6
7
8
9
10
11
Monthly Base Income $ (Co-Borrower)
*
Monthly Overtime $ (Co-Borrower)
Monthly Bonuses $ (Co-Borrower)
Monthly Commission $ (Co-Borrower)
Co-Borrower Asset Details
Please provide information about your asset accounts. These may include Checking, Savings, Money Markets, Retirement Accounts, etc.
Co-Borrower Account / Asset Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Enter Another Account?
Yes
No
Co-Borrower Account / Asset Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Enter A Third Account?
Yes
No
Co-Borrower Account / Asset Type
Please Select
Checking
Savings
Money Markets
Retirement Funds
Other
Cash Value $
Co-Borrower Declarations
Are there any outstanding judgements against you?
*
Yes
No
Have you been declared bankrupt within the past 7 years?
*
Yes
No
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
*
Yes
No
Are you a party to a lawsuit?
*
Yes
No
Have you been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?
*
Yes
No
Are you presently delinquent or in default on any Federal debt or any other loans?
*
Yes
No
Are you obligated to pay alimony, child support, or separate maintenance?
*
Yes
No
Amount Paid Monthly
Is any part of the down payment borrowed?
*
Yes
No
Are you a co-maker or endorser on a note?
*
Yes
No
Are you a U.S. citizen?
*
Yes
No
Are you a permanent resident alien?
*
Yes
No
Do you intend to occupy the property as your primary residence?
*
Yes
No
Have you had an ownership interest in a property in the last three years?
*
Yes
No
What type of property did you own?
Principal Residence
Second Home
Investment Property
Information for Government Monitoring
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.
Co-Borrower: Option
I do not wish to furnish this information
Co-Borrower: Sex
*
Male
Female
Co-Borrower: Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Co-Borrower: Race
*
American Indian or Alaska Native
Black or African American
Native Hawaiian or Other Pacific Islander
Asian
White
Credit Authorization
*
I / We acknowledge receipt of the
Credit Authorization
.
How did you hear about us?
*
Referral Name
Do you have a Real Estate agent?
Yes
No
Real Estate Agent Name
Email
This field is for validation purposes and should be left unchanged.