P/A Capital - Online Application

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P/A CAPITAL

"A residential and commercial mortgage specialist"

Mortgage Application

INSTRUCTIONS:
Complete this easy application for Pre-Approval on a new residential loan.
When finished click on the send button.
Call 800/481-2525 if you need assistance to complete this form.
One of our mortgage specialists will be in touch with you within 24 hours to let you know how much you may qualify for.
Please remember that there is no obligation.

Residential Loan Application

General Information	Borrower	Spouse/ Co-borrower
Full Name
Address
Address
City
State
Zip

Ownership:
How Long
Home Phone
Work Phone
Fax Number
E-mail
Best time to reach

Employment & Income Information	Borrower	Spouse/ Co-borrower
Social Security No:
Employer's name:
Employer's Phone No:
Are you self-employed?
Time on Current Job:
Time in Same line of Work:
Monthly Gross Income
Gross Income 2 years ago
Gross Income Last Year
Date of Birth:

Credit Information Borrower

Credit Information/Co-borrower

If Bankruptcy has been filed, What Type:
Discharge Date:
Monthly Mortgage/Payment/Rent	$
Monthly Property Tax & Insurance Payment	$
Monthly Debt Payments (Include credit cards, car loans, student loans, installment loans, etc.) DO NOT INCLUDE RENT/UTILITIES.	$
Subject Property is
Purpose of Loan
Purchase Price	$
Down Payment Amount	$
Refinance; 1st Mortgage Amount	$
Refinance; 2nd Mortgage Amount	$

Bill Consolidation $
Please Describe:

Home Improvement $
Please Describe:

Other Needs $
Please Describe:

Equal Housing Lender