Loan Application - Mathew Mattila Portland Mortgage Professional

Applicant Information

Applicant Name (middle initial is required)*

First Middle Last

Applicant Email*

Enter a valid email address. Follow-up correspondence will be sent to this email address.

Home Address*

Street Address Address Line 2 City State ZIP Code

Do you rent or own?

Rent

Own

Neither

Current Mortgage or Rent Payment*

# of Years at Current Address*

If less than 2 years at current address, please enter prior address

# of Years at Prior Address

Cell Phone*

Work Phone*

Date of Birth*

Social Security Number*

Marital Status*

Number of Dependents*

Age(s) of Dependents

If applicable.

Mortgagee or Landlord Name*

Current Mortgage Balance

Employer Information

Current Occupation*

Current Employer Name*

Work Address*

Street Address Address Line 2 City State ZIP Code

Position Held*

Supervisor Name

First Last

Supervisor Phone*

Start Date*

How long in this industry?*

Monthly Income*

Other Income Source

Note: Alimony, child support or separate maintenance income need not be revealed.

Amount and Type of Loan Request

Loan Amount Requested*

Type of Loan

Mortgage

Refinance

Cash-Out Refinance

Other Secured Loan

Desired Monthly Payment*

Type of Credit*

Individual Credit

Joint Credit

Loan Purpose

Co-Applicant Information

Please have the following section completed by your co-applicant if appropriate.

Co-Applicant Name (middle initial is required)

First Middle Last

Co-Applicant Email

Co-Applicant Address

Street Address Address Line 2 City State ZIP Code

Co-Applicant Years at Current Address

Current Mortgage or Rent Payment

Enter $0 if N/A or entered for applicant.

Co-Applicant Phone

Co-Applicant Date of Birth

Co-Applicant Social Security Number

Co-Applicant Marital Status

Co-Applicant Number of Dependents

Co-Applicant Age(s) of Dependents

Co-Applicant Employer Information and Work History

Current Occupation

Current Employer Name

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position Held

Supervisor Name

Supervisor Phone

Start Date

How many years in this industry?

Monthly Income

THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT AND REVIEW OF MY EMPLOYMENT HISTORY. I understand any false or misleading statements in my application may cause any loan to be in default. I agree that this application shall be this Institutions`s property whether or not this credit application is approved.

Application Date*

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Applicant Digital Signature and Credit Authorization

Applicant Name*

First Last

Yes, run my credit report for the purposes of this loan application*

Click here to authorize

Applicant Digital Signature*

First Last

By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.

Co-Applicant Digital Signature and Credit Authorization

Co-Applicant Name

First Last

Yes, run my credit report for the purposes of this loan application

Click here to authorize

Co-Applicant Digital Signature

First Last

By entering my first & last below, I stipulate that I agree to all of the terms and conditions stipulated on this application.

Email

This field is for validation purposes and should be left unchanged.

Home Loan Application

Applicant Information

Employer Information

Amount and Type of Loan Request

Co-Applicant Information

Co-Applicant Employer Information and Work History

Applicant Digital Signature and Credit Authorization

Co-Applicant Digital Signature and Credit Authorization