Application/Information Request

Instructions
  1. Use this form to request mortgage information and/or apply for a loan!
  2. Please fill out the form as completely and accurately as possible.
  3. If you have questions or need assistance please call: 800-339-6454 or you can e-mail us at: info@stressfreeloan.com 

Be sure to check your e-mail.

You'll get an answer from us within 1 business day.

Please assist us by telling us what brought you to our website:

Or type in the source you used here if not listed above
Please tell us about yourself:

Borrower

Co-borrower (If Different)

First & Last Name:

Address:

City

State: Zip: City: State: Zip:

Home Phone:

Work Phone:

Best Time To Contact:

E-mail:

Social Security #:

Are You Self Employed ?

 Yes No

 Yes No

Occupation:

Length Of Employment:

Gross Monthly Income:

My Credit History Is:

excellent
good, but some lates
some credit problems
major credit problems
don't know

excellent
good, but some lates
some credit problems
major credit problems
don't know

Have you ever filed bankruptcy?

Please tell us about the loan you are interested in:
Loan Amount Requested:
How much (if any) of the above amount would you like in cash?
Term Desired:
Type Of Loan:
Please tell us about your home/property:
Street Address: If same as home address type "same"
City, State, Zip Code:
Estimated Present Market Value (What your home would sell for) :
Year Purchased:
Original Price:

Primary Residence Second/Vacation Investment/Rental
Number of bedrooms:

Baths:

Approximate Square Footage:

How long are you planning to stay in this property:

Please tell us about your current financial obligations:

Are you currently paying PMI (Private Mortgage Insurance)

Monthly Homeowners Association Dues (If applicable):
Mortgages Balance: Interest Rate Mortgage Company : Payment: Taxes and Insurance included? Type of loan ?
First: Yes No

Second: Property Taxes /yr:

Third: Homeowners Insurance /yr:


If this is a debt consolidation loan, please list the accounts you would like to pay off:
Creditor Amount Owed Monthly Payment
$ $
$ $
$ $
$ $
$ $
$ $
Use this space to list additional accounts you would like to payoff or make any special requests you have. Also list any additional sources of income. The more information we have the better we can assist you.

By submitting this on-line questionnaire, I/we hereby authorize Sea Breeze Mortgage to obtain my/our credit report.

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