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Instructions

1. Please use the Next and Previous button at the bottom of each screen to navigate through the application. Fields with a (*) are required fields.

2. Please avoid using your browser's Back and Forward buttons.

Loan Purpose

Purchase a new property

Refinance an existing loan

Legal First Name

Middle Name

Last Name

Suffix

Home Phone

Cell Phone

Nickname

Is there an additional Borrower on this application?

Yes

Legal First Name

Middle Name

Last Name

Suffix

Home Phone

Cell Phone

Nickname

I agree to this website’s Privacy Policy and Terms of Use policies

Borrower: I consent to do business electronically and provide certification and authorization to the lender to obtain and verify documents and information contained in my application.

Social Security Number

Date of Birth

Marital Status

Current Address 1

City

Zip

State

Current Address 2

Do you own or rent property?

Are you selling or retaining your property?

What is your monthly mortgage payment ?

Enter the amounts that are not included in your mortgage payment (If applicable):

Annual Taxes

Monthly HOA/Condo fees

Annual Insurance

Move in Date at Current Address

Personal address over the last two years is needed for credit history

What is your U.S citizenship status?

Country of Citizenship

Do you (or your deceased spouse) have any active or previous U.S. military service?

Number of Dependents

Ages of Dependents (Separate age by commas)

Years of Education (Example: For high school enter 12)

Pre-Qualification Authorization

By clicking on the "I Agree" button below, you are providing "written instructions" authorizing NFM Lending under the Fair Credit Reporting Act to obtain information from your personal credit profile or other information from CIC Mortgage Credit, Inc., solely to conduct a pre-qualification for a mortgage loan.

Information about Borrower

Borrower Demographic Information The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "ethnicity“and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Gender

Male

Female

I do not wish to provide this information

Ethinicity- Check one or more

Hispanic Or Latino

Not Hispanic Or Latino

I do not wish to provide this information

Mexican

Puerto Rican

Cuban

Other Hispanic or Latino- Enter Origin

Race- Check

American Indian or Alaska Native Enter name of enrolled or principal tribe

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

I do not wish to provide this information

Not Applicable

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander- Enter Race

Employer Name

Address

Phone Number

Base Monthly Income

Starting Date

Ending Date

(Position Title)

Position Type

Select If Applicable

Overtime

Bonus

Commission

Account Type

Estimated Balance

Institution Name

Declarations
Please answer the following questions to the best of your ability and accuracy:

Will you occupy the property as your primary residence?

Yes

Have you had an ownership interest in another property in the last three years?

Yes

What type of property did you own: primary residence (PR), FHA secondary residence (SR), second home (SH), or investment property (IP)?

How did you hold title to the property: by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?

If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property?

Yes

Are you borrowing any money for this real estate transaction (e.g., money for your closing costs or down payment) or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application?

Yes

What is the amount of this money?

Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on this loan application?

Yes

Have you or will you be applying for any new credit (e.g., installment loan, credit card, etc.) on or before closing this loan that is not disclosed on this application?

Yes

Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes (e.g., the Property Assessed Clean Energy Program)?

Yes

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

Yes

Are there any outstanding judgments against you?

Yes

Are you currently delinquent or in default on a federal debt?

Yes

Are you a party to a lawsuit in which you potentially have any personal financial liability?

Yes

Have you conveyed title to any property in lieu of foreclosure in the past 7 years?

Yes

Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due?

Yes

Have you had property foreclosed upon in the last 7 years?

Yes

Have you declared bankruptcy within the past 7 years?

Yes

Identify the type(s) of bankruptcy

Chapter 7

Chapter 11

Chapter 12

Chapter 13

Your Loan Officer

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