Mortgage Loan

    Our short application is an easy and fast way to start. Please provide the following information.

Personal Information

  • OKFirst Name is required
  • OKLast Name is required
  • OKEmail is required
  • OptionalOKReferral Name is required
  • Home Phone

    OptionalOKHome Phone is required
  • Cell Phone

    OptionalOKCell Phone is required
  • Work Phone

    OptionalOKWork Phone is required
  • OptionalOKExt. is required
  • OptionalOKMarital Status is required
  • Are you a U.S. citizen?

    OptionalOKAre you a U.S. citizen? is required
  • Date of Birth

    OptionalOKDate of Birth is required
  • Social Security or Tax ID #

    OKSocial Security or Tax ID # is required
  • OKCredit Check Authorization is required
  • OptionalOKNumber of Dependents is required
  • Separate ages by commasOKDependent Age(s) is required

Current Address Information

  • OptionalOKStreet Address is required
  • OptionalOKCity is required
  • OptionalOKState is required
  • OptionalOKZip is required
  • OptionalOKYears at this address is required
  • OptionalOKMonths is required
  • Rent or Own

    OptionalOKRent or Own is required

Subject Property Information

  • OptionalOKPurpose of Loan is required
  • OptionalOKProperty Usage is required
  • OptionalOKLoan Amount $ is required
  • OptionalOKPurchase Price $ is required
  • OptionalOKNumber of Units is required
  • OptionalOKYear Built is required
  • OptionalOKSubject Property Address is required
  • OptionalOKCity is required
  • OptionalOKState is required
  • OptionalOKZip is required

Monthly Income

    Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.

  • OptionalOKBase Income $ is required
  • OptionalOKBonuses $ is required
  • OptionalOKCommission $ is required
  • OptionalOKOther Income $ is required


  • OptionalOKChecking $ is required
  • OptionalOKSavings $ is required
  • OptionalOKRetirement Funds $ is required
  • OptionalOKMutual Funds $ is required
  • OptionalOKOther $ is required
  • 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. You may select one or more designations for "Race." 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 ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.

    OptionalOKI do not wish to furnish this information is required
  • Sex

    OptionalOKSex is required
  • Ethnicity

    OptionalOKEthnicity is required
  • Race

    OptionalOKRace is required

Privacy Policy

    We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency. Other than Bankers Mortgage Corporation and American Processing Solutions for mortgage loan application purposes, we do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law. FNB Community Bank is a mortgage broker for Bankers Mortgage Corporation.

    OKI accept the terms of the privacy policy is required


  • Do you have a co-borrower?

    OptionalOKDo you have a co-borrower? is required