Allanach Mortgage

Is there a Co-applicant

required

Purchase or Refinance

Purchase
Refinance

required

Do you have an accepted offer?

^*Address 1

Address 2

Date Processed

Loan Amount Requested ($)

Loan Term Requested in years

Interest Rate Requested (%)

Last Name

First Name

Middle Initial

Social Security No (TIN)

Date of Birth

Phone Number

Cell Number

E-mail Address

If you do not have an email please put in amg@amg.com

Do you have any dependents

Marital Status: required

Applicant Dependents Age

Applicant Dependents Gender

Male
Female

Last Name

First Name

Middle Initial

Social Security No (TIN)

Date of Birth

Phone Number

Cell Number

E-mail Address:

If you do not have an email please put in amg@amg.com

Do you have any dependents

Marital Status: required

Co Applicant Dependents Age

Co Applicant Dependents Gender

Male
Female

Home Address

Primary Applicant

Residence Type

Rent
Own

Address 1

Address 2

City

State required

Zip

Time at Current Residence in Years required If 2 years or less fill out additional residence

Additional Residences

Street Address

City

Home Address

Co Applicant

Residence Type:

Rent
Own

Address 1

Address 2

City

State required

Zip

Time at Current Residence in Years required If 2 years or less fill out additional residence

Additional Residences

Street Address

City

Present Employer

Primary Applicant

Phone Number

Gross Salary

Years Employed required If 2 years or less fill out past employers

Estimated Start Date

Past Employers

Name

Job title

Phone

Years Employed required

Estimated Start Date

Gross Salary

Other Income ($):

Income Source:

Do you pay Child Support or Alimony:

required

Present Employer

Co Applicant

Phone Number

Gross Salary

Years Employed required If 2 years or less fill out past employers

Estimated Start Date

Past Employers

Name

Job title

Phone

Years Employed required

Estimated Start Date

Gross Salary

Other Income ($)

Income Source:

Do you pay Child Support or Alimony:

required

Liquid Assets (Cash, Savings, etc.) $

Stocks, Bonds, Mutual Funds, etc. $

Home Value (Real Estate, Personal Property) $

The purpose of collecting this information is to help ensure that all the applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race". The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Authority: required

Give the authority to the credit union or its processing and whole sale partner Allanach Mortgage Group Corporation,NMLS# 2894 to access my/our credit. By accessing this credit we can make a more complete diagnosis of you credit qualification.

I agree to Allanach Privacy Policy and Security Policy required

If you have frozen your credit with EFX, EXP, and TU please unfreeze.

Note: "After 2:00 pm your mortgage request is considered received on the next business day.
For Saturday and Sunday the request is considered received Monday unless Holiday".

Applicant Dependent Age:

Applicant Dependent Gender:

Male
Female

Co Applicant Dependent Age:

Co Applicant Dependent Gender:

Male
Female

Street Address

City

Street Address

City

Mortgage Work Sheet

Subject Property

Primary Applicant

Co Applicant

Home Address

Primary Applicant

Additional Residences

Home Address

Co Applicant

Additional Residences

Present Employer

Primary Applicant

Past Employers

Present Employer

Co Applicant

Past Employers

Borrower:

Co Borrower:

Security Policy

Mortgage Application In partnership with your credit union

Mortgage Work Sheet

Subject Property

Primary Applicant

Co Applicant

Home Address

Primary Applicant

Additional Residences

Home Address

Co Applicant

Additional Residences

Present Employer

Primary Applicant

Past Employers

Present Employer

Co Applicant

Past Employers

Borrower:

Co Borrower:

Security Policy