Loan
Information
Is this a Residential or
Commercial Property?
*
Residential
Commercial
Are you purchasing or refinancing?
*
Purchasing
Refinancing
When would you like to close this
loan?
*
< Select >
Next 30 days
Next 60 Days
Next 3 months
Next 6 months
What amount would you like to
borrow?
$
Would you like a fixed-rate loan?
Yes No
Please provide the following
information for your 1st mortgage:
Do you currently have a 2nd
Mortgage?
Yes No
If YES, please provide the
following information:
Property
Information
In what State is this property?
*
< Select State >
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Washington D.C.
Wisconsin
West Virginia
Wyoming
What type of property are
purchasing or
refinancing?
< Select Description >
2-Unit
3-Unit
4-Unit
5-Unit and above
Co-Op
Commercial
Condo Conversion
Condominium/Town Home
Detached Condo
Manufactured Home
Mixed Use
Modular Home
Single Family Residence
How do you use this property?
< Select Use >
Investment
Primary Residence
Vacation/Second Home
Rental Property
How would you describe the
property's location?
< Select Location >
Urban
Suburban
Rural
When did you buy this property?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
When did you last refinance this
property?
N/A
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
What is the estimated value of the
property you are purchasing or refinancing?
$
How much did you pay for this
property?
$
What is the total balance of all
mortgages and/or equity lines on the property you are refinancing?
$
Would you like to pay off other
debts with this refinance?
Yes No
Financial
Information
What is the total monthly income
(before taxes) for you and your co-borrower?
Notice: Alimony, child support or
separate maintenance income need not be revealed if you do not
want it to be considered for repaying this loan.
Can you and your co-borrower
document your income source(s)?
Borrower
Information
INFORMATION FOR GOVERNMENT MONITORING PURPOSES
The following information is requested by the federal
government for certain types of loans related to a
dwelling in order to monitor the lender's compliance with
equal credit opportunity, fair housing, and home mortgage
disclosure laws. You are not required to furnish this
information, but are encouraged to do so. The law provides
that a lender may not discriminate on the basis of this
information, or on whether you choose to furnish it.
However, if you choose not to furnish the information and
you have made this application in person, under federal
regulations the lender is required to note race or
national origin and sex on the basis of visual observation
or surname.
How did you hear
about us?
Credit Report
To determine whether you and your co-borrower pre-qualify for
one of our programs we need to obtain a credit report on you
and your co-borrower (at no cost to you). You must agree to
provide us with each borrower's Social Security number so we
can obtain the credit report(s). Providing this information
allows us to obtain the credit report(s) but does not
represent any obligation on your behalf to obtain a loan from
Integrity Funding. The information obtained will solely be
used to analyze your pre-qualification request and on-line
application. Please provide the Social Security number(s)
below and click "Apply" to send your pre-qualification
request.
Do you agree to receive disclosures electronically, and have
the ability to do so?
Note: By clicking "Yes" you agree to accept
disclosures and notification electronically via e-mail, you
have the right to withdraw consent by contacting us at
866-RE-LOANS and requesting copies of any disclosures or
notification in writing.