990 Raritan Rd Clark, NJ 07066
866-203-9613
homes@premierpointmortgage.com
The Company
Home Loans
Conventional
FHA
VA
FHA 203k Renovation
USDA
Non-QM Loan
Additional Products
Mortgage Calculator
Apply Now
Careers
Contact Us
The Company
Home Loans
Conventional
FHA
VA
FHA 203k Renovation
USDA
Non-QM Loan
Additional Products
Mortgage Calculator
Apply Now
Careers
Contact Us
Apply Now
Apply Now
Date
(Required)
MM slash DD slash YYYY
Referring Loan Officer
PURPOSE OF LOAN:
(Required)
Refinance
Purchase
203k Construction
Home Equity LOC
PRIMARY BORROWER
(Required)
Date Of Birth
(Required)
MM slash DD slash YYYY
SSN#
PHONE (H)
(Required)
PHONE (W)
PHONE (C)
CO-BORROWER
Date Of Birth
MM slash DD slash YYYY
SSN#
PHONE (H)
PHONE (W)
PHONE (C)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
FOR PURCHASE (LISTED HOME)
HOME TYPE
SINGLE FAMILY
DUPLEX
MULTIPLEX
TOWN HOME
CONDO
EST. MARKET VALUE $
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
FOR REFINANCE
HOME TYPE
SINGLE FAMILY
DUPLEX
MULTIPLEX
TOWN HOME
CONDO
CASH OUT
YES
No
AMOUNT $
REASON(S) FOR CASH
EST. MARKET VALUE OF HOME $
TAX VALUE $
YEAR PURCHASED
YEAR BUILT
ORIGINAL COST
HOW LONG IN HOME?
ESCROW
YES
NO
MORTGAGE
YES
NO
AMT PER MO $
CURRENT MORTGAGE HOLDER
MTG TYPE
INTEREST RATE
TERM
YRS LEFT
BALANCE $
MO PMT $
2ND MORTGAGE/LINE OF CREDIT HOLDER
MTG TYPE
INTEREST RATE
TERM
YRS LEFT
BALANCE $
MO PMT $
EMPLOYMENT HISTORY (BORROWER)
EMPLOYER NAME
(Required)
EMPLOYER ADDRESS
(Required)
POSITION?TITLE
(Required)
YRS ON JOB
(Required)
GROSS INCOME
(Required)
(Required)
MO
YR
PAID ON
(Required)
W-2
1099
SELF EMPL
PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO
(Required)
EMPLOYMENT HISTORY (CO-BORROWER)
EMPLOYER NAME
EMPLOYER ADDRESS
POSITION/TITLE
YRS ON JOB
GROSS INCOME
MO
YR
PAID ON
W-2
1099
SELF EMPL
PREVIOUS EMPLOYER/PART TIME EMPLOYMENT INFO
REVOLVING DEBT/MONTHLY OBLIGATIONS
Majority of this information will be obtained via the credit card report
DO YOU PAY CHILD SUPPORT?
YES
NO
AMOUNT/MO $
REAL ESTATE TAXES
YES
NO
YEARLY $
MO(IF KNOWN) $
HOME INSURANCE
YES
NO
YEARLY $
MO(IF KNOWN) $
CREDIT CARD HISTORY
EXCELLENT
GOOD
AVERAGE
CHALLENGED
AGREE TO CREDIT CHECK
YES
NO
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
SCORE
HAVE YOU EVER HAD ANY LATE PAYMENTS ON YOUR MORTAGE (PAST 12 MO)
YES
NO
DESCRIBE CREDIT ISSUES (JUSDGEMENT, BANKRUPTCY, COLLECTIONS):
ASSETS
CASH IN BANK ACCOUNTS (include savings & checkings)
INVESTMENTS (including 401k, brokerage accounts, stocks, bonds ETC...)
PROPERTY (including rental units, cabins, 2nd homes and land)
NOTES
