- 2402
County Road I ·
Suite 200 ·
Mounds View ·
MN ·
55112
- Toll
Free: 866-913-2600 ·
FAX: 651-407-8179
-
- FAST-APP
MORTGAGE APPLICATION
-
Complete the information below and fax it to the above fax number.
- For questions, call Brian Nelson at the above toll-free number.
-
- SOURCE: TAX FREEDOM INSTITUTE
TAX PROFESSIONAL__________________
-
- Borrower Information
- Borrower’s Name:__________________ Co-Borrower’s name:____________
- Social Security No. _________________ Social Security No._______________
Home Phone (____) __________________
- Work Phone (____)_______________
Work
Phone(_____)_______________ Street
Address:________________________________________________________
- City: ___________________________________________________________
- State: _______________ Zip:
____________________
- E-Mail Address:_______________________________________________
-
- Employment Information
- Borrower
Employer:
Co-Borrower
Employer:
- ________________________
_____________________________
- Position:_________________
Position:__________________
- Years Employed ______
Years Employed _______
- Gross Monthly Pay $__________
Gross Monthly Pay $________
-
- Loan Information
- Property Value: $____________ How did you
determine value?______________ Last Appraisal Date: ________
- Do you escrow
Real Estate taxes & insurance?______
- Years Owned: _____ Insurance Payments: $_______
-
Real Estate Tax Payments. $_________
- Monthly Principle & Interest Payments:
$________
- Mortgage Balance: $_________________
- Amount needed to satisfy state and federal delinquent tax debts:
-
$
______________________
- ADDITIONAL COMMENTS:______________________________________________
- _________________________________________________________________________
- _________________________________________________________________________
