15915 Katy Freeway, Suite 620 Houston, TX 77094

Phn: (281) 578-2706 Fax: (281) 492-1785

Please fill out this form with "best guess" information and click the "Submit Your Application" button. A loan specialist will review the data and guide you through the final steps of your mortgage.

About You Borrower     Co-Borrower Your Name :   Your Name : Residency : U.S. Citizen Green Card Non-Resident Alien See Comments   Residency : U.S. Citizen Green Card Non-Resident Alien See Comments Employment : W2 - Employee 1099 - Employee Self-Employed See Comments   Employment : W2 - Employee 1099 - Employee Self-Employed See Comments Since(date) :   Since(date) : Income :$ (Gross Annual)   Income :$ (Gross Annual) Other Income:$ (address in Comments...) Total Income:$ Monthly Debt Payments: $ (Installment Loans & Credit Cards Only) How would you rate your credit?: About Your Financing Needs Property - City & State : Loan Amount : $ Occupancy : Owner Occupied Non-Owner Occ. Second Home See Comments Down Pymt : --Select a source-- Not Applicable Savings Sale of Prev. Home Gift Loan See Comments Finance Type : Purchase Rate/Term Refi Cashout Refi Second Mortgage Equity Loan Constr. Loan Rehab Loan See Comments Approx. Value: $ Property Type : Single Family Condo Non-Conf. Condo Manuf. Home Mobile Home Log Home Duplex Triplex Fourplex Developed Lot Un-Developed Lot Raw Land See Comments Sales Price : $ (if applicable) Program Type : Other Financing?: None First Mortgage Second Mortgage Equity Loan Line of Credit See Comments - Other Financing Amount : $ Current Loan Rate : Comments... Contact Information How should we contact you : Phone Fax E-Mail Phone #: Fax #: E-Mail: Comments... Comments (Click on your web browser's "Back" button to return to the previous screen.)