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| Name, phone, and fax no., and e-mail of borrower submitting this application: |
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| * Name: |
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Fax: |
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| Company |
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* Email: |
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Cell: |
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| Verifiable Physical Address: |
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Your contact at EquityMax: |
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* Required Field |
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A. INITIAL LOAN REQUEST
In order to give you the fastest possible approval on your loan request, please provide us with as much of the following information as possible. |
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| 1. Name of mortgage broker submitting this application (if applicable): |
| Name: |
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Phone: |
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| Company: |
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Fax: |
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Cell: |
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| 2. Loan Amount Requested: |
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| 3. Address of property to be mortgaged: |
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City |
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Zip |
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| 4. Property ID/Folio Number: |
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| 5. Type of property |
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| A. Residential |
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| If residential: |
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| Beds: |
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Baths: |
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| B. Multi-unit (How many units?), including beds/baths |
| Units: |
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Total Beds: |
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| Total Baths: |
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| C. Commercial (describe): |
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| D. Land (describe): |
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| 6. Purchase or refinance? If a purchase, for how much? If a refinance, approximately when did borrower originally purchase property, for how much, and what were terms of original purchase? |
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| Purchase: |
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| How Much? |
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| Refinance: |
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| How Much? |
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Original Purchase Date: |
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| Terms of Original Purchase: |
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| 7. Existing liens, if any: |
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| 8. Does borrower have a prior title policy? |
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| 9. Borrower's representation of property's fully repaired value: |
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| 10. If you are a mortgage broker, please note that before we close, we will also need: |
- Your good faith estimate of closing costs, signed by borrower.
- Your mortgage brokerage agreement, signed by borrower.
- Copy of your mortgage brokerage business license if this is either our first time doing
business, if you're new in the business, or if it was renewed since you last copied us. |
| 11. Documentation required with all loan applications and/or prior to closing: |
- If a purchase, a copy of the fully executed purchase/sale contract.
- If a refinance, a copy of the HUD-1 from your original purchase.
- Borrower's credit report or credit application.
- Verification that the transaction in question does NOT involve any seller-held 2nd
mortgages, assignments of contract, simultaneous closings, wholesale "flip" within recent months of original purchase, seller repair/closing cost credits, gifts of equity, or any other related agreement or transaction which lowers or has lowered the effective net purchase price, unless agreed to by the lender in writing.
- If application is for a loan on vacant land, a survey is required.
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12. Upon credit approval a $150 fee will be requested from the borrower for
purposes of verifying the borrower's property evaluation.
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B. APPLICATION FOR CREDIT
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| Information in connection with this application will be used to determine the creditworthiness of the applicant, which shall include obtaining a credit report. By submitting the below information, the applicant authorizes EquityMax and/or its representatives to obtain a credit report. |
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| PLEASE FAX OR EMAIL US A CREDIT REPORT WITH BEACON SCORE, RUN WITHIN LAST 90 DAYS, OR COMPLETE THE FOLLOWING: |
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| Full Name: |
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SSN#: |
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| DOB: |
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| Address: |
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City: |
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| State: |
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Zip: |
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With this information on hand, we promise you an answer within 24 hours, if not sooner!
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