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Affinity Mortgage Loan Application

Our processing folks will assemble your loan packet. This packet will be used by the underwriter to approve your loan. Please respond to the items below so that your loan packet is assembled correctly.

This only takes a few moments to complete (as you only need answer the items that are applicable to you)… and then the hardest part of your loan is done!


General Information
Are you working with one of our loan officers?
Your best contact phone number:
Your best contact email address:
What is your current home address? (Full home address: Street, City, State, zipcode)
How long have you lived at this address?
Do you rent or own that property?


Primary Borrower: Information specific to the person to be listed as the Primary Borrower
Primary Borrower's Full Name:
Primary Borrower's Social Security Number (SSN):
Primary Borrower's Date of Birth:
Current marital status:
Primary Borrower's Years of school completed:
How many child dependents do you have living at home?: (if any)
What are their ages (if applicable)?


Do you own any other real estate?
Address of other owned real estate (if applicable)?
Address of other owned real estate (if applicable)?


Primary Borrower's Current employer: (If retired, enter "Retired")
Primary Borrower's Employer address:
Primary Borrower's Current position or title:
Primary Borrower's Approximate start date:
Primary Borrower's Employer's phone number:


Primary Borrower (continued) ...
We need to document the past 24 months of employment history for all borrowers – so please include any additional employment details here...
Primary Borrower's Previous employer: (If applicable)
Primary Borrower's Previous employer address: (If applicable)
Primary Borrower's Previous position or title: (If applicable)
Primary Borrower's Previous approximate start date: (If applicable)
Primary Borrower's Previous approximate end date: (If applicable)


Primary Borrower (continued) ...
Enter the primary borrower's various income sources here. Please provide information for all income sources...
Primary Borrower's Income source #1: (Example: "$2500/month salary", if applicable)
Primary Borrower's Income source #2: (Example: "$2000/month pension", if applicable)
Primary Borrower's Income source #3: (Example: "$900/month SSI", if applicable)


Co-Borrower: Information specific to the person to be listed as the Co-Borrower
Co-Borrower's Full Name:
Co-Borrower's email address:
Co-Borrower's Social Security Number (SSN):
Co-Borrower's Date of Birth:
Co-Borrower's Years of school completed:


Co-Borrower's Current employer: (If retired, enter "Retired")
Co-Borrower's Employer address:
Co-Borrower's Current position or title:
Co-Borrower's Approximate start date:
Co-Borrower's Employer's phone number:


Co-Borrower (continued) ...
We need to document the past 24 months of employment history for all borrowers – so please include any additional employment details here...
Co-Borrower's Previous employer: (If applicable)
Co-Borrower's Previous employer address: (If applicable)
Co-Borrower's Previous position or title: (If applicable)
Co-Borrower's Previous approximate start date: (If applicable)
Co-Borrower's Previous approximate end date: (If applicable)


Co-Borrower (continued) ...
Enter the co-borrower's various income sources here. Please provide information for all income sources...
Co-Borrower's Income source #1: (Example: "$2500/month salary", if applicable)
Co-Borrower's Income source #2: (Example: "$2000/month pension", if applicable)
Co-Borrower's Income source #3: (Example: "$900/month SSI", if applicable)



Refinance Loans: If you are refinancing, please answer these items...
Year your property was built: (If applicable)
Year you purchased this property: (If applicable)
Approximate purchase price: (If applicable)



Purchase Loans: If you are purchasing a home, please answer these items...
Purchase Price: (If applicable)
Your total down payment (if any): (If applicable)
How much earnest money did/will you put down (if any)? (If applicable)



Homeowner's Insurance, HOA related items...
Your home insurance provider (or your agent's name):
Home insurance policy number (if you have easy access to it):
HOA (Homeowner's Association) contact information: (if applicable)



Miscellaneous questions for all...
Have you ever been involved with a bankruptcy, foreclosure or short-sale?
Do you currently pay child support and/or alimony payments?
What is your current total monthly housing expense (i.e., your total current monthly rent or mortgage payment):



Questions for our Military and/or VA eligible folks...
Have you ever had a VA mortgage before?
If you have had a prior VA mortgage before, do you still own it?
Do you currently receive VA disability income?


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NMLS #2579. Licensing information is available via the National Mortgage Licensing System & Registry.