Penguin Mortgage
 

Mortgage Application

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Residential Loan Application

Please fill out as completely as possible. Use the "Tab" key to move through the form

Have you been previously been contacted by a Penguin Mortgage Representative? Yes No 
TYPE OF MORTGAGE AND TERMS OF LOAN

Loan Amount Requested $

  Interest Rate%

  Term yrs (30 year, 15 year, 3/1, 5/1, 7/1)
PROPERTY INFORMATION AND PURPOSE OF LOAN
Property Address City
 		St
 		Zip

No. of Units  Year Built

Purpose of Loan 
 Purchase Refinance Pre-Approval Other 

Property will be 
 Primary Residence  Second Home  Investment

If Purchase-Sales Price  $ Real Estate Taxes $ Homeowners Assoc. Dues $

Complete this line if this is a refinance loan.

Year Acquired

Original Cost

Existing Liens

Estimated Value

Purpose of Refinance

$

$

$

BORROWER INFORMATION

Borrower

Co-Borrower

First Name Last Name

First Name Last Name

Social Sec.#

Hm Ph

Social Sec.#

Hm Ph

Email:   Email:  

Present Address

Present Address

Street Address

City

Street Address

City

State

Zip

State

Zip

Own Rent

No. of Years

Own Rent

No. of Years

IF AT PRESENT ADDRESS LESS THAN TWO YEARS ... please complete additional information

Previous Address

Previous Address

Street Address

City

Street Address

City

State

Zip

State

Zip

Own Rent

No. of Years

Own Rent

No. of Years

EMPLOYMENT INFORMATION

Borrower

Co-Borrower

Name of Employer

Name of Employer

Address 

Address 

City, State Zip

City, State Zip

Self-employed 
  Yes No

Years on this job

Self-employed
 Yes No

Years on this job

Monthly Income$

Monthly Income$

Years in current profession

Years in current profession

Position/Title/Type of Bus

Position/Title/Type of Bus

Business Phone

Business Phone

IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS... please complete additional information

Name of Employer

Name of Employer

Address

Address

City, State Zip

City, State Zip

From

To (mm/dd/yyyy)

From

To (mm/dd/yyyy)

Self-employed  Yes No

Self-employed  Yes No

Monthly Income $

Monthly Income $

Position/Title/Type of Bus

Position/Title/Type of Bus

Business Phone

Business Phone

MONTHLY INCOME AND HOUSING EXPENSE INFORMATION

Gross Monthly Income

Borrower

Co-Borrower

 

Base Employment Income

 

Overtime

 

Bonuses

 

Commissions

 

Dividends/Interest

 

Net Rental Income

 

Other Income*

 

*From what source?

 

Current  Housing Expense 

Rent

First Mortgage

Hazard Insurance

Real Estate Taxes

Mortgage Insurance

Homeowner Assn. Dues

Other

Total

$

     

 
ASSETS AND LIABILITIES

Assets

"Earnest Money" Amount$ (for purchases only)

Checking/Savings Accounts

Name of Bank
Address-1
Address-2
City, State Zip
Account #
Balance $

Name of Bank
Address-1
Address-2
City, State Zip
Account #
Balance $

Name of Bank
Address-1
Address-2
City, State Zip
Account #
Balance $

Name of Bank
Address-1
Address-2
City, State Zip
Account #
Balance $

Stocks and Bonds

Company name/number    

Cash Value Amount$ 

Company name/number    

Cash Value Amount$ 

Company name/number    

Cash Value Amount$ 

Company name/number    

Cash Value Amount$ 

 

Vested Interest in Retirement Fund: $

Automobiles

Year & Make Value $
Year & Make Value $
Year & Make Value $

 

Borrower 401K $ 

Co-Borrower 401K $

LIABILITIES: Please list all credit cards, department store cards, Student Loans, Installment loans and Auto Payments

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Creditor  
Account # Mo. Payment Mos. Left to Pay Balance

Are you paying Child Support or Alimony?  Yes No    If so how much monthly $
OTHER REAL ESTATE OWNED

Property Address

Market Value

Amt. of Liens

Gross Income

Mortgage Pmt

Tax/Ins.

Property Address

Market Value

Amt. of Liens

Gross Income

Mortgage Pmt

Tax/Ins.

DECLARATIONS

Items

Borrower

Co-Borrower

a. Are there any outstanding judgments against you?

Yes No

Yes No

b. Have you been declared bankruptcy within the last 7 years?

Yes No

Yes No

c. Have you had property foreclosed upon in the last 7 years?

Yes No

Yes No

d. Are you a party to a lawsuit?

Yes No

Yes No

e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?

Yes No

Yes No

f. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?

Yes No

Yes No

g. Are you obligated to pay alimony child support or separate maintenance?

Yes No

Yes No

h. Is any part of the down payment borrowed?

Yes No

Yes No

I. Are you the co-maker or endorser on a note?

Yes No

Yes No

j. Are you a U.S. citizen?

Yes No

Yes No

k. Are you a permanent resident alien?

Yes No

Yes No

l. Do you intend to occupy the property as your primary residence?

Yes No

Yes No

m. Have you had an ownership interest in a property in the last 3 years?

Yes No

Yes No
CREDIT HISTORY
Do you have a copy of your credit report? Yes   No                Your Credit Score:

On a scale of 1 - 5 with 1 being the worst and 5 being the highest, how would you rank your credit history?

Borrower: 

Co-Borrower: 

Additional comments:

That's It!

By Sending to Penguin Mortgage you will have just completed the first step in the mortgage process!!

COPYRIGHT© 2006 Penguin Mortgage
A Georgia and Virginia Residential Mortgage Licensee. Equal Opportunity Lender serving the South East United States. Last modified: 01/31/06