• Mortgage Information
    0
  • First Name*Full LEGAL name (no nicknames)
    1
  • Last Name*
    2
  • Suffix*i.e. Jr., Sr.
    3
  • Loan Purpose*
    4
  • First Mortgage Balance*For Refinances Only
    5
  • Loan Amount Requested*Minimum Loan Amount of $100,000
    6
  • Estimated Closing Time*
    7
  • Down Payment Amount*
    8
  • Source of Downpayment*
    9
  • Property Information
    10
  • Property Will Be*
    11
  • Property Type*
    12
  • Property Market Value / Purchase Price*
    13
  • Address*
    14
  • City*
    15
  • State*
    16
  • Borrower Information
    17
  • Street Address*
    18
  • City*
    19
  • State*
    20
  • Zip Code*
    21
  • Rent/Own*
    22
  • If Renting, monthly rent amount*In dollars
    23
  • How long at current residence?*# of years and months
    24
  • If residing at present address for less than two years, please input your previous address as well.
    25
  • Street Address*Previous Address
    26
  • City*
    27
  • State*
    28
  • Zip Code*
    29
  • Rent/Own*
    30
  • How long at previous residence?*# of years and months
    31
  • Mailing Address*If different from street address (i.e. PO Box)
    32
  • Email*a valid email address
    33
  • Home Phone*
    34
  • Cell Phone*
    35
  • Social Security Number*
    36
  • Date of Birth*mm/dd/year
    37
  • Number of Years in School*High School is 12 years, plus college, if any
    38
  • Marital Status*
    39
  • No. of Dependents*Number of children
    40
  • Age of Dependents*
    41
  • Borrower's Current Employer*
    42
  • Time with Employer*Number of years and months
    43
  • Employment Start Date*
    44
  • Job Position*
    45
  • Gross Monthly Income*
    46
  • If at current employment for less than 2 years, please complete information for previous employment directly below as we must show 2 years of employment in the same line of work. Thank you!
    47
  • Borrower's Previous Employer*
    48
  • Time with Previous Employer*Number of years and months
    49
  • Employment Start Date*
    50
  • Employment End Date*
    51
  • Previous Job Position*
    52
  • Previous Job Gross Monthly Income*
    53
  • Additional Income?*Input Gross Monthly Income
    54
  • Type of Additional Income*Indicate the source of this income
    55
  • Borrower's Credit History*
    56
  • Are You Self Employed?*
    57
  • Are you a Veteran?*Yes or No
    58
  • If you intend for this loan application to be joint with another person, whether spouse, significant other, or family member, please complete all fields of the below Co-Borrower Information. If this section is left blank we will pre-qualify only the Borrower for the loan. Thank you!
    59
  • Co-Borrower Information
    60
  • First Name*Full LEGAL Name (no nicknames)
    61
  • Last Name*
    62
  • Suffix*i.e. Jr., Sr.
    63
  • Street Address*
    64
  • City*
    65
  • State*
    66
  • Zip Code*
    67
  • Rent/Own*
    68
  • How long at current residence?*# of years and months
    69
  • If residing at present address for less than two years, please input your previous address as well.
    70
  • Street Address*Previous Address
    71
  • City*
    72
  • State*
    73
  • Zip Code*
    74
  • Rent/Own*
    75
  • How long at previous residence?*# of years and months
    76
  • Mailing Address*If different from street address (i.e. PO Box)
    77
  • Email*a valid email address
    78
  • Home Phone*
    79
  • Cell Phone*
    80
  • Social Security Number*
    81
  • Date of Birth*mm/dd/year
    82
  • Number of years in school*High School is 12 years, plus college, if any
    83
  • Marital Status*
    84
  • Co-Borrower's Current Employer*
    85
  • Job Position*
    86
  • Time with Employer*Number of years and months
    87
  • Employment Start Date*
    88
  • Gross Monthly Income*
    89
  • If at current employment for less than 2 years, please complete information for previous employment directly below as we must show 2 years of employment in the same line of work. Thank you!
    90
  • Co-Borrower's Previous Employer*
    91
  • Previous Job Position*
    92
  • Time with Previous Employer*Number of years and months
    93
  • Employment Start Date*
    94
  • Employment End Date*
    95
  • Previous Job Gross Monthly Income*
    96
  • Additional Income?*Input Gross Monthly Income
    97
  • Type of Additional Income*Indicate the source of this income
    98
  • Co-Borrower's Credit History*
    99
  • Are you Self-employed?*
    100
  • We want to make sure you are assigned to the Mortgage Planner of your choice. Please complete the following questions so we can assure that your application reaches the correct individual. Thank you.
    101
  • Have you spoken to a Mortgage Planner from our office?*Yes or No
    102
  • If yes, please choose from the following:*Select your Mortgage Planner
    103
  • If no, please make your choice of Mortgage Planner*Please Choose from Dropdown
    104
  • Are you currently working with a Realtor?*Yes or No
    105
  • If yes, please let us know which Realtor you are working with*please type full name
    106
  • We appreciate referrals. If someone you know referred you to our office, please let us know! We'd love to thank them personally.
    Please complete fields below! Thank you!
    107
  • How did you hear about Island Home Loans?*
    108
  • Referred By:*full name please
    109
  • By submitting this form I am authorizing an agent of this company to request and review my credit report. A representative with Island Home Loans will be in touch with you to gather more information and income and asset documentation to provide you with the best pre-qualification possible. These items will be needed prior to receiving a pre-qualification response and credit review from our office. Please be prepared to provide these items in a timely manner for faster service. You may take a look at our 'Checklist of Items Needed', also located on our website under the 'LOAN PROCESS' tab.
    We look forward to working with you! Thank your for your time!
    110
  • 111