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LOAS Portal: Purchase Loan
Fill out the form below to request a loan appointment for your client. An experienced, licensed mortgage loan originator will be in touch shortly.
LOAS (Purchase) -EN
Name of Loan Officer
- select -
Enrique Fonseca
Andres Carrillo
Loan Accelerator Name
First Name
Middle Name
Last Name
Phone Number
Email
Date of Birth
Social Security Number or ITIN
Legal Status
Citizen
Resident
Work permit
Non-Resident (ITIN)
When does your residency or work permit expire? (If apply)
What is your marital status?
- Select -
Married
Divorced
Single
Current Address
City
State
Zip Code
How long have you been at this address?
Do you own the property?
Yes
No
How much do you pay in rent?
How much is your mortgage?
Do you plan on selling this property?
Yes
No
Do you own any property/real estate in the United States?
Yes
No
Number of Dependents
Dependent Age
Have you filed your last two years of income taxes?
Yes
No
Name of your Employer
Employer's Phone Number
Employer Address
Employer City
Employer State
Employer Zip Code
Start date at job
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions):
xx Does this client have more than 2 years at their current job?
Yes
No
Name of past employer
Employer's phone number
Employer Address
Employer City
Employer State
Employer Zip Code
How long were you at this job? (Be specific with month and year)
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions)
Does the client complete their 2 year history with this job?
Yes
No
Name of past employer
Employer's phone number
Employer Address
Employer City
Employer State
Employer Zip Code
How long were you at this job? (Be specific with month and year)
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions)
Do you have another job?
Yes
No
Name of your Employer
Employer's Phone Number
Employer Address
Employer City
Employer State
Employer Zip Code
How long were you at this job? (Be specific with month and year)
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions):
Do you receive any other income such as social security, child support, retirement plan, etc?
Yes
No
How much money do you have saved for the purchase?
Do you have this money in cash or in your bank account?
How much do you pay per month in minimum payments for the debts that appear on your credit? (not including rent)
Do you pay child support or maintenance?
Yes
No
Do you owe money to the government or the IRS?
Yes
No
If you are on a payment plan, how much do you pay per month? (if applicable)
Is someone suing you or is there a lawsuit against you?
Yes
No
Have you filed for bankruptcy?
Yes
No
Have you lost a home?
Yes
No
What is your credit score?
When was the last time I checked it?
Will you be applying with someone else? (A co-signer)
Yes
No
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Next
Co-borrower's Details
First Name
Middle Name
Last Name
Phone Number
Email
Date of Birth
Social Security Number or ITIN
Legal Status
Citizen
Resident
Work permit
Non-Resident (ITIN)
When does your residency or work permit expire? (If apply)
What is your marital status?
- Select -
Married
Divorced
Single
Current Address
City
State
Zip Code
How long have you been at this address?
Do you own the property?
Yes
No
How much do you pay in rent?
How much is your mortgage?
Do you plan on selling this property?
Yes
No
Do you own any property/real estate in the United States?
Yes
No
Number of Dependents
Dependent Age
Have you filed your last two years of income taxes?
Yes
No
Name of your Employer
Employer's Phone Number
Employer Address
Employer City
Employer State
Employer Zip Code
Start date at job
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions):
Does this client have more than 2 years at their current job?
Yes
No
Name of past employer
Employer's phone number
Employer Address
Employer City
Employer State
Employer Zip Code
How long were you at this job? (Be specific with month and year)
What is your position or title within the company*
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions)
Does the client complete their 2 year history with this job?
Yes
No
Name of past employer
Employer's phone number
Employer Address
Employer City
Employer State
Employer Zip Code
How long were you at this job? (Be specific with month and year)
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions)
Do you have another job?
Yes
No
Name of your Employer
Employer's Phone Number
Employer Address
Employer City
Employer State
Employer Zip Code
Start date at job
What is your position or title within the company
Are you paid hourly or salary?
Hourly
Salary
How much do you get paid an hour? (Your Gross income, before deductions)
How much do you get paid in salary? (Your Gross income, before deductions):
Do you receive any other income such as social security, child support, retirement plan, etc?
Yes
No
How much money do you have saved for the purchase?
Do you have this money in cash or in your bank account?
How much do you pay per month in minimum payments for the debts that appear on your credit? (not including rent)
Do you pay child support or maintenance?
Yes
No
Do you owe money to the government or the IRS?
Yes
No
If you are on a payment plan, how much do you pay per month? (if applicable)
Is someone suing you or is there a lawsuit against you?
Yes
No
Have you filed for bankruptcy?
Yes
No
Have you lost a home?
Yes
No
What is your credit score?
When was the last time I checked it?
Agent or Company that referred you
Notes
Leave this field empty
Previous
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