Mortgage Application

How can we assist you?

Loan Purpose:

Purchase

Refinance

Purchase Info

Ideal Closing Date:

Approximate Down Payment:

Sale Price of Property:

Refinance Info

Approximate balance of mortgage being refinanced:

$

Include closing costs in the new loan amount?

Yes

No

Is there currently a second mortgage on the property?

Yes

No

Pay off additional debt or get cash out as part of this transaction?

Yes

No

Property Info

Occupancy:

Owner Occupied

Investment

Second Home

Property Type:

- Select -Single Family DetachedCondoTownhousePUD DetachedRuralDetached CondoDetached RuralHigh Rise CondoManufactured Housing Double WideMixed UsePUD Attached2-4 Multi Family

Property Address:

Property Street:

Property City:

Property State:

Property Zip:

Lender Information

Are you currently working with a loan officer?

Yes

No

Loan Officer Name

- Select -Jackie HolteJoanne BlieseJerome DuevelMike MohrTim Olson

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