The weekly real estate and finance show with norm and mike. Teaching you to do more with the money you already have

Quick Mortgage Loan Application

Why Use this Form? Simple, it's the fastest most accurate way to apply for a loan with Norm & Mike!

Is It Safe To Transmit Your Information Over The Internet? Absolutely! We use state of the art encryption technology called SSL to protect your personal information while it is being transmitted over the Internet. However, if you are not comfortable submitting this information over the Internet, once you complete the form you can print it and fax it to 1 866-314-1127.

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Please tell us about yourself:

Please tell us how you heard about us?
Borrower		Co-borrower Relationship?
First Name:
Last Name:
Mailing Address:
City, State, Zip
Home Phone:
Cell Phone:
Best Time To Contact:
E-mail Address:
SSN #:
Age:
Date Of Birth:
Marital Status:	Married Unmarried (Single, Divorced, Widowed)	Married Unmarried (Single, Divorced, Widowed)

Employment Information
Employer Name
Gross Monthly Income:
Years On Current Job:

Many times assets can offset credit problems, excessive debt, short term employment history, etc. Please list all liquid asset accounts here. (401k's, stocks, bonds, IRA, Savings, Cash)

Liquid Assets Type	Value/Amount (est.)

Real Estate Owned
How many other properties do you own?	Co Borrower:
If yes, approximate market value:
Rental income amount (all properties):

Please tell us about the loan you are interested in:

What is the purpose of the loan:
Loan Amount Requested:
How much (if any) would you like in cash?
Term Desired:

Please tell us about your home/property you are seeking the loan for:

Year Purchased:
Estimated Present Market Value:		(What your home would sell for)
This home is your:		Primary Residence Second/Vacation Investment/Rental
Property Type:		House Condo/Townhome Mobile

Please tell us about your current financial obligations:

Are you paying PMI (Private Mortgage Insurance)	Yes
Monthly HOA Dues Amount (If applicable):
Have you ever filed bankruptcy?
Has the Co Borrower?

Mortgages	Balance:	Interest Rate	Payment:
First:
Second:
Third:

Use this space to list additional accounts you would like to payoff or make any special requests you have. Also list any additional sources of income, assets, special features or recent upgrades to your home. Remember, the more information we have the better we can assist you!

Loan approval is subject to credit and financial history.

By submitting this on-line questionnaire, we hereby authorize Norm Bour or Mike Roberts to obtain our credit reports.