Eagle Mortgage - Apply For A Home Loan

Co-Borrower Loan Application

With a variety of loan programs and an established network of lenders behind us, we will find the loan that best suits your needs, at a very competitive rate. We know that each customer has specific needs, so here at Eagle Mortgage, we strive to meet those specific needs with quality service and individual attention.

Whether you are buying your first home, looking for a larger house to accommodate a growing family, or considering refinancing, Eagle Mortgage may be the solution for you.

Your first name:
Your last name:
Your Address:
Your email address:
Your home telephone number:
Your work telephone number:
Your cell telephone number:
Best time to call:
Co-Borrower Information:
Your first name:
Your last name:
Your email address:
Your Address:
Your home telephone number:
Your cell telephone number:

Additional Information:
Purpose of loan:
Is there a co-borrower? Yes No
In which state is the property located?
Do you currently own any real estate? Yes No
I own properties.
How is your credit?
How did you hear about us?

What is your social security number and age?
SS# Age
Date of Birth: Day Year
Do you currently: Rent Own other
Occupancy at current address: Years months
What is the borrowers former address?
(Previous address is required if you have been at your current address for less than two years.)
Former Street Address:
Former City location:
Former Address State:
Former Address Zip Code:
Did you: Rent Own other
Occupancy: years months

Co-Borrower Information
SS# Age
Date of Birth: Day Year
Do you currently: Rent Own other
Occupancy at current address: Years months
What is the borrowers former address?
(Previous address is required if you have been at your current address for less than two years.)
Former Street Address:
Former City location:
Former Address State:
Former Address Zip Code:
Did you: Rent Own other

Tell us about your Employment-Borrower
Are you self employed? Yes No
If no: Employer Name
How long employed: years months
Monthly Income:
(Previous employer is required if you have been with your current employers less than two years.)
Previous Employer Name
How long employed: years months
Monthly Income:
Tell us about your assets
Checking $ Savings $
(401k, IRA, annuity) $

Tell us about your Employment-Co-Borrower
Are you self employed? Yes No
If no: Employer Name
How long employed: years months
Monthly Income:
(Previous employer is required if you have been with your current employers less than two years.)
Previous Employer Name
How long employed: years months
Tell us about your assets
Monthly Income:
Checking $ Savings $
(401k, IRA, annuity) $

Are you already working with a real estate agent? Yes No
If yes, Agent's Name
Company
Phone number
Additional Comments:

Authorization to check credit verification
You understand by selecting the yes radio button immediately following this notice you are providing written instructions to Eagle Mortgage and Funding under the Fair Credit Reporting Act authorizing Eagle Mortgage and Funding to obtain information from your personal credit profile or other information from the credit bureau. You authorize Eagle Mortgage & Funding to obtain such information soley in accordance with a Mortgage Loan Application.
I agree with the terms about Yes No
Borrower's email Address
Co-Borrower's email Address

Eagle Mortgage & Funding Inc.
A Licensed Tennessee & Mississippi Mortgage Company