Phone 800-450-7575
 Individual Credit- Relying soley on my income or assets
Joint Credit- We intend to apply for joint credit
Please Initial here                  
Co-signer Initials here if Joint
 

INFORMATION REGARDING PROPERTY 


 Purchase

 Refinance
 
PROPERTY ADDRESS  
CITY  
STATE
ZIP CODE
PURCHASE PRICE
LOAN AMOUNT REQUESTED  
ARE  YOU  CURRENTLY
WORKING WITH
A LOAN OFFICER
YES   NO
LOAN OFFICER NAME  IF APPLICABLE
NORTHVIEW BANK
OFFICE LOCATION
OR PREFERED OFFICE LOCATION
REFERRED BY

INFORMATION REGARDING APPLICANT 

 

FIRST NAME MIDDLE I LAST  
SOCIAL SEC#
DATE OF BIRTH
MARITAL STATUS MARRIED    UNMARRIED   SEPARATED  
STREET ADDRESS
CITY  
STATE
ZIP
EMAIL ADDRESS  
PRIMARY PHONE
SECONDARY PHONE  
YEARS AT STREET ADDRESS    
OWN / RENT OWN    RENT   N/A  
MONTHLY PYMNT  


PREVIOUS ADDRESS
If less than 2 years at current
CITY  
STATE
ZIP

 
EMPLOYER NAME  
EMPLOYER ADDRESS
 CITY  
STATE  
ZIP
HOW LONG
AVG MONTHLY INCOME  
EMPLOYER PHONE
 POSITION/TITLE


PREVIOUS EMPLOYER
If less than 2 years at current
 
PREVIOUS EMP ADDRESS
CITY  
STATE  
ZIP
HOW LONG


OTHER SOURCE(S) OF INCOME

Alimony, child support, or seperate maintainence income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.  

INFORMATION REGARDING JOINT APPLICANT (Complete if applicable)


FIRST NAME MIDDLE I LAST  
SOCIAL SEC#
DATE OF BIRTH
MARITAL STATUS MARRIED    UNMARRIED   SEPERATED  
STREET ADDRESS
CITY  
STATE
ZIP
EMAIL ADDRESS  
PRIMARY PHONE
SECONDARY PHONE  
YEARS AT STREET ADDRESS    
OWN / RENT OWN    RENT   N/A  
MONTHLY PYMNT  
PREVIOUS ADDRESS
If less than 2 years at current
CITY  
STATE  
ZIP

 
EMPLOYER NAME  
EMPLOYER ADDRESS
 CITY  
STATE  
ZIP
HOW LONG
AVG MONTHLY INCOME  
EMPLOYER PHONE
 POSITION/TITLE


PREVIOUS EMPLOYER
If less than 2 years at current
PREVIOUS EMP ADDRESS
CITY  
STATE  
ZIP
HOW LONG
OTHER SOURCE(S) OF INCOME

Alimony, child support, or seperate maintainence income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
 
ASSETS AND LIABILITIES
 
ASSETS  LIABILITIES
    TOTAL AMOUNT($)
CASH / CHECKING / SAVINGS $
INVESTMENTS $
RETIREMENT ACCOUNTS $
HOME $
OTHER REAL ESTATE TOTAL $
     
DEBTS OWED TO   BALANCE   PAYMENT
$ $
$ $
$ $
$ $
$ $
$ $
 


I certify that everything I have stated in this application and on any attachments is correct. You may keep this application whether or not it is approved. By signing below I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I/we agree to provide financial information, upon request, in a form acceptable to you.  
APPLICANT FULL NAME DATE
CO-APPLICANT FULL NAME DATE