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Online Mortgage Application

Please complete the following information to the best of your ability. If you cannot complete one of the questions for whatever reason please move on to the questions you can answer, we will contact you if additional information is required.

You may submit this application electronically or you may print it out and submit it by fax to 513-874-0661. You may also submit this application over the phone by calling 513-346-4070. Or simply email us with your phone number and we'll call you. Please don't hesitate to contact us with any questions you may have. Thank you for choosing The Mortgage Network.

 

Loan Purpose
Purchase
Refinance

Name of Loan Officer

Property Type
Primary Residence
Second Home
Investment Property (Not owner-occupied)

 
Property Address
Street:
City:
State:
Zip:
Property Value:

 
BORROWER CO BORROWER
Contact Information
E-Mail Address (required)
First Name, MI, Last Name
Home Telephone Number
Work Telephone Number
Since Mo/Yr
Birthday (MMDDYY)
Social Security Number
No. of Dependents
Marital Status
Previous Address
(Complete only if you've lived at present address for less than two years.)
Previous Street Address
City, State, Zip
Own or Rent Own Rent
Present Employment
Present Employer
Address
City, State, Zip
Start Date
Gross Monthly Income
Title
Previous Employment
(Complete only if employed less than two years by present employer.)
Previous Employer
Address
City, State, Zip
Dates Employed
Gross Monthly Income
Title
Other income (if any)
Other Income Source
How Long Receiving
Monthly Amount
Other Income Source
How Long Receiving
Monthly Amount
Please Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this obligation.

 
Asset Information
(please complete for all checking, savings, money market, CD, stock, bond or other liquid asset accounts)

 
Bank or Institution Name
Checking Balance
Savings Balance
Money Market
401 K
IRA

 
Bank or Institution Name
Checking Balance
Savings Balance
Money Market
401 K
IRA

 
Bank or Institution Name
Checking Balance
Savings Balance
Money Market
401 K
IRA

 

 
Debts
(Please complete for auto loans and leases, revolving debt or other obligations. Be sure to include any Alimony or support payments.):

 
Type of Loan
Lender
Monthly Payment Balance Owed

 
Type of Loan
Lender
Monthly Payment Balance Owed

 
Type of Loan
Lender
Monthly Payment Balance Owed

 
Type of Loan
Lender
Monthly Payment Balance Owed

 
Vehicles Owned:

 
Year Make Model $ Value

 
Year Make Model $ Value

 
Landlord Information(If any):

 
Landlord's Name
Landlord's Phone Number
Monthly Rental Payment

 
Loan Amount
Down Payment
from Savings
Sale of Other House
Gift

Loan Term:
10 Year
15 Year
20 Year
30 Year

Loan Program:
Fixed
Fixed Due in 5 Years
Fixed Due in 7 Years
Adjustable Yearly
Adjustable Yearly After 3 Years
Adjustable Yearly After 5 Years
Adjustable Yearly After 7 Years

Please click on "Submit this Application" below if you agree to the following:

I certify that the information I have provided is true and correct. I authorize The Mortgage Network, to verify any information included in this application or in other documents required to obtain the loan I am requesting. I also authorize any party named in this application to provide any and all information The Mortgage Network. may request, such as employment history, credit history, income and income tax returns, and bank, money market, and similar account balances.

I understand that The Mortgage Network. will incur time and expense on my behalf to process and approve my loan. Therefore, I agree that if The Mortgage Network approves my loan and closing of the loan can not occur due to any act, failure to act, or misrepresentation on my part, I will pay The Mortgage Network one percent (1%) of the loan amount as well as any fees which The Mortgage Network has paid to third parties on my behalf.

I understand that I may submit my application to The Mortgage Network electronically by clicking "Submit This Application" below, or I may submit the application by fax or mail. If I choose to submit this application electronically, I acknowledge that, regardless of the fact that Netscape Navigator security features are available, The Mortgage Network is unable to ensure that the data can not be intercepted by third parties. I agree that The Mortgage Network will not be held liable should such interception occur. This is not an offer to lock and does not meet truth-in-lending requirments. Rates are subject to change and depend on loan amount, appraised value, and length of lock. Truth-in-lending documents and good faith estimates will be furnished at application or upon request.

 


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