Atlanta Mortgage Group

Personalized Mortgage Lending
QuickApp

Please fill out as completely as possible. Use the "Tab" key to move through the form

To open a printable Application in Adobe format (Click Here).
Your Email Address

 

TYPE OF MORTGAGE AND TERMS OF LOAN

Loan Amount Requested $

PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Address

City

St

Zip

 Purpose of Loan 
 Purchase Refinance Pre-Approval 		 Property will be 
 Primary Residence  Second Home  Investment
If Purchase-Sales Price  $ Real Estate Taxes $ Insurance $
If Refinancing-Existing Liens $ Estimated Value $

BORROWER INFORMATION

Borrower

Co-Borrower

First Name Last Name First Name Last Name
Home Phone Work Phone Home Phone  Work Phone  

Present Address

Present Address

Street Address
 		City
 		Street Address
 		City
State
 		Zip
 		State
 		Zip
Own Rent No. of Years Own RentNo. of Years

EMPLOYMENT INFORMATION

Borrower

Co-Borrower

Employer  Employer
Position/Title Position/Title
Self-employed 
  Yes No		Years on this job
 		Self-employed
 Yes No		 Years on this job
Years in current profession Years in current profession
IF EMPLOYED IN CURRENT POSITION FOR LESS THAN TWO YEARS... please complete additional information
Name of Employer
 		Name of Employer
Position/Title
 		Position/Title
INCOME
    Borrower   Co-Borrower
Gross Monthly Income $ $

ASSETS

Checking/Savings Accounts

Stocks and Bonds

Total Approx Balance $ Approx Cash Value $
  Vested Interest in Retirement Funds
$  
OTHER REAL ESTATE OWNED
Property Address
 		Market Value
 		Amount Owed
 		Gross Income
 		Payment
Property Address
 		Market Value
 		Amount Owed
 		Gross Income
 		Payment

DECLARATIONS
 BorrowerCo-Borrower
Have you been declared bankruptcy within the last 7 years? Yes No Yes No
If so, what year was it discharged?

CREDIT HISTORY
Do you know your credit scores?  Borrower:   Co-Borrower:
If not, on a scale of 1 - 5 with 1 being the worst and 5 being the best, how would you rate your credit history?
Borrower:  Co-Borrower:
Additional comments:
Have you spoken with one our Mortgage Specialists? Yes No
If so, which one?

Congratulations!
You have now completed our QuickApp. 
Just press the "I Would Like a Home Loan!" button and we will respond to your request as quickly as possible.

Member National Association of Mortgage Brokers
Georgia Mortgage Broker Association "Top Gun" Mortgage Broker
Atlanta Business Chronicle "Top Mortgage Broker Performer"
Georgia Residential Mortgage Licensee 14051 NMLS# 159305
Adrian Skiles, GML NMLS# 40236
Georgia and Florida Licensed Mortgage Broker

One of Georgia's Oldest Mortgage Brokerage Firms
Corporate Office 6650 River Crest Point Suite B  Suwanee, GA 30024
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