Home Loan Application for INDIVIDUAL Applicants

* Required Fields

* Loan Type Requested
* Referred By:
Member Number (existing members only)
* Loan Amount Requested
* Property Address
Estimated Home Value:
GOVERNMENT MONITORING INFORMATION
The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one orÂ more "Hispanic or Latino" origins, and one orÂ more designations for "Race".
The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to provide some or all of this information, please check below.
* Borrower: Ethnicity
* Borrower: Race
* Borrower: Sex
BORROWER INFORMATION
* Full Name
* Social Security Number
* Date of Birth
* Telephone
( * Telephone 1 ) * Telephone 2 - * Telephone 3 ext * Telephone Extension
* Email Address
Street Address
City
State
Zip Code
Years There
Employment Information
Current Employer
Employer Address
Hire Date
Phone Number
( Phone Number 1 ) Phone Number 2 - Phone Number 3 ext Phone Number Extension
Position
Gross Monthly Income
Other Income
Source
Other income such as alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.

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