Mortgage Application Form

Dear Mortgage Applicant,

Thank you for your interest in applying for a mortgage/refinance through JustChoice Lending. We are excited to begin this process with you and look forward to assisting you in your housing needs. In order for us to begin we will need to gather some information about you. Please fill out the attached application as accurately as possible in order for us to be able to prequalify you for the best loan program to fit your needs.

The next step is for us to pull your credit report. There is a small fee attached to pulling the report; single- 21.58 joint -37.56. You can pay this a couple of different ways. You can mail a check to the address below made out to JustChoice Lending for the appropriate amount above or you can call one of our loan originators below and we can take a debit/credit card over the phone.

Once we have all of the information we will be able to compare it to our loan programs and let you know which one fits your needs the best. We look forward to assisting you and please feel free to contact us if you have any questions about this process.

Sincerely,

JustChoice Lending

Today's Date *

Month Day Year

How did you hear about JustChoice Lending? *

Internet Search Referred by Individual Referred by Organization Marketing material (pamphlet, door hanger, etc)

Name of Referring Organization

Name of Referring Individual

Full Name *

First Name Middle Initial Last Name Suffix

Date of Birth *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Length of time at address *

Rent/Own/Rent Free? *

Monthly Rent

Phone Number *

Area Code Phone Number

E-mail Address

Social Security # *

# of Dependents *

Ages

Marital Status *

Married Unmarried Seperated

Current Rental Amount *

Are you Self Employed? *

Yes No

How are you Paid? *

1099 W2

Do you have reimbursed expenses? *

Yes No

Current Employer *

Employer Name

Street Address

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Starting Date *

Have you been employed here for 2 years or longer? *

Yes No

Position *

Wages *

Hourly Salary

Gross Monthly Wages *

If employed less than 2 years, please fill out the previous employer field

Previous Employer *

Employer Name

Street Address

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Length Employed *

Position *

Wages *

Hourly Salary

Gross Monthly Wages *

Please list any non-employment income that you receive (Child Support, SSI, Alimony, etc.):

*

Yes No

Full Name *

First Name Middle Initial Last Name Suffix

Date of Birth *

Month Day Year

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Length of time at address *

Phone Number *

Area Code Phone Number

E-mail Address *

Marital Status *

Married Unmarried Separated

Social Security # *

# of Dependents *

Ages

Employment

Are you Self Employed? *

Yes No

How are you Paid? *

1099 W2

Do you have reimbursed expenses? *

Yes No

Current Employer *

Employer Name

Street Address

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Starting Date *

Have you been employed here two years or longer? *

Yes No

Position *

Wages *

Hourly Salary

Gross Monthly Wages *

If employed less than 2 years please fill out the previous employer field

Previous Employer *

Employer Name

Street Address

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Length Employed *

Position *

Wages *

Hourly Salary

Gross Monthly Wages *

Please list any non-employment income that you receive (Child Support, SSI, Alimony, etc.):

What type of property are you interested in? *

Construction Manufactured Existing other

What type of loan are you interested in? *

Purchase Refinance Other

How would you rate your credit score? *

No Score 550 or less 639-551 700-640 700+

Have you filed bankruptcy? *

Yes No

If Yes, when was it discharged?

Fahe, Inc. dba JustChoice Lending and its agents, their successors and/or assigns, as their interest may appear may re-verify the information or documents used in processing this loan. I hereby authorize release of information to the lender or its designee, by my employer, bank, accountant, mortgage lender, landlord, creditors, and other sources to verify the accuracy of documents and credit information the lender used in deciding whether to approve the loan. I also, grant permission to use a photographic copy of this form containing my signature to obtain any information regarding the items mentioned above. *

I accept

County and State you are looking to buy in? *

# of People in Household? *

Please list anyone in the household that has income other than the borrower and co-borrower: *

Asset information: Checking, savings, retirement, etc. Please include balance and company name: *

Please provide any additional information that you would like to share:

I hereby grant permission for Fahe, dba JustChoice Lending and its agents to obtain any and all information deemed necessary to process my mortgage loan application, to obtain any payoffs necessary, and to make changes to the mortgagee clause in my homeowners insurance upon approval of my loan. This information includes, but is not limited to, my present employment status, my federal income tax returns, if required, my deposit account, my past and present consumer credit record, my mortgage record and/or my rental record.Double-click to edit this text... *

I accept

Would you like news and updates from JustChoice Lending?

Yes

Please note, by selecting the submit button you are acknowledging, just as if you signed a written contract, that all of the information stated in this application, to the best of your knowledge is correct. A mortgage representative will contact you to complete the process once your pre-application has been submitted. *

I have read the above paragraph.

Are you a U.S. citizen or permanent resident alien?

Yes No

Did Job Require a 1099 Tax Form? *

Preliminary Pre-qualification Application

Borrower

Employment

Is there a Co-Borrower?

Co-Borrower

Loan Specific Information