SECURITY MORTGAGE PROVIDES COMPLETE MORTGAGE SERVICES

Fast Loan Approval • Automated Underwriting • 100% Financing • New Construction Loans
Home Equity Loans • 2nd Lien Loans • Home Improvement Loans
Debt Consolidation Loans • Down Payment Assistance Loans

Welcome to our Secure Application

Please fill out as many fields as possible.

Fields indicated by red and bold letters are required.

Loan and Property Information

Loan Purpose:

Loan Type:

Property Type:

Building Type:

Purchase Price:

Down Payment:

Property Address (if known):

City, State, Zip:

Applicant(s) Information

Full Legal Name:

Social Security:

Date of Birth:

mm/dd/yyyy

Co-Borrower Name:

Social Security:

Date of Birth:

mm/dd/yyyy

Address:

City, State, Zip:

Home Phone:

ex:000-000-0000

Work Phone:

Co-Borrower Work Phone

Contact me at:

Call in the:

E-Mail:

Co-Borrower Information (If different than above)

Home Phone:

ex: 000-000-0000

Address:

City, State, Zip:

Employment Information

Borrower

Employer's Name:

Employment:

Years Months

Gross Monthly Income:

My credit history is:

Co-Borrower

Employer's Name:

Employment:

Years Months

Gross Monthly Income:

My credit history is:

Assets and Liabilities

Current Housing Expense:

(rent or mortgage payment)

Total Bank Balances:

Total of all Monthly Debts:

(excluding monthly housing}

Notes: (type in whatever information you feel might be relevant.)

How did you hear about us?

Fair Credit Reporting Act Notice

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Security Mortgage & Trust Co. under the Fair Credit Reporting Act authorizing Security Mortgage & Trust Co. to obtain information from your personal credit profile.

You authorize Security Mortgage & Trust Co. to obtain such information solely in accordance with a Mortgage Loan Application.

(You Are Required To Answer)

Do You Wish To Select a Representative To Contact You (Optional)

Texas Mortgage Broker No.875
2742 82nd Street Lubbock, Tx 79423

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