Mortgage Loan Questionnaire – Refinance Pre-approval
* Instructions – Please fill out the entire questionnaire by typing directly onto this MSword document, re-save doc, re-attach to new e-mail, and return via e-mail to me ASAP.
I.
Terms of Loan & Property Information;
Est. Mortgage Amount
Est. Value
Property Full Address
Property County
1-4 Family, Coop, or condo
Estimated monthly taxes, annual
hazard insurance coverage, and/or
monthly maintenance fees.
Occupancy – Primary, 2nd Home,
Investor
Mortgage product (fixed, ARM,
other) and term (30, 15 yr) desired
E-mail contact info
II.
Borrower Information;
Borrower
Name
Social Security #
Home Phone #
Birth Date
Years of School
Married, Unmarried, Separated
Present Address (include city, state & zip)
Years at present address
Former Residence (if current is less than
2 years)
Years at former residence
# of Dependents & Ages
Co-Borrower
Name
Social Security #
Birth Date
Years of School
Married, Unmarried, Separated
Present Address (if Same as Borrower,
please indicate)
Years at present address
Former Residence (if current is less than
2 years )
Years at former residence
III. Employment Information;
Borrower
Name of Employer
Complete Address of Employer
Self Employed - Yes or No
Employment Dates (hire date to present)
Years in this line of work/industry
Position or Title
Business Phone #
Former Employers (if current is less than
2 years )
Former Title or position
Former Employer complete address
Employment dates (hire date to end date)
Former Employer phone #
Co-Borrower Employment Information
Name of Employer
Complete Address of Employer
Self Employed - Yes or No
Employment Dates (hire date to present)
Years in this line of work/industry
Position or Title
Business Phone #
Former Employers (if current is less than
2 years )
Former Title or position
Former Employer complete address
Employment dates (hire date to end date)
Former Employer phone #
IV. Monthly Income & Present Housing Expense;
Gross
Monthly Income
Base Monthly Salary
Overtime
Bonuses
Commissions
Dividends / Interest
Net Rental Income
Borrower
Co- Borrower
Present Monthly
Housing Expense
Rent
First Mortgage
Second Mortgage
Hazard Insurance
Real Estate Taxes
Other (mthly maint fees,
Total
common charges)
Other Income
V.
Total
Assets;
Liquid & Reserve Assets – all sources of $ for transaction (note any Gift assets, 401K, brokerage
Checking/savings, CD’s, and earnest money deposit down)
Financial Institution/address
Type of Account/Account #
Account Balance
VI. Liabilities;
Name of Creditor Company
Monthly Payment
Balance
TYPE = Installment, credit card, mortgage,
alimony, child support.
VII. Schedule of Real Estate Owned;
Property Address – full address
Type
Home
Market Value
$ Balance of
Mortgage &
Liens
VIII. Declarations
Questions
Are there any outstanding judgements against you?
Have you been declared bankrupt in the past 7 years?
Have you had a property foreclosed upon or given title or deed in lieu thereof in
the last 7 years?
Are you a party to a lawsuit?
Have you directly or indirectly been obligated on any loan, which resulted in
foreclosure, transfer of title in lieu of foreclosure, or judgement?
Are you presently delinquent or in default on any Federal debt or any other loan,
mortgage, financial obligation, bond or loan guarantee?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
Are you a co-maker or endorser on a note?
Are you a U.S. citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
Have you had an ownership interest in a property in the last three years?
What type of property did you own – principal residence (PR), Second Home
(SH), or investment property (IP)?
How did you hold title to the home – solely by yourself (S), with your spouse
(SP), or jointly with another person (O)?
IX. Contact Information – Transactional Parties;
Attorney –
E-mail, and work #
RealtorE-mail, work #, cell #
Accountant –
Email, and work #
Mthly
Mortgage
Pymts
Borrower
Yes
No
Mthly
Insurance, tax
& maint pymts
Co-Borrower
Yes
No
X. Standard Documentation Checklist for Purchase/Refi;
1 – most recent 30 days paystubs, consecutive pay periods, all borrowers.
2 – 2013 & 2014 W-2 statements, all borrowers.
3 – Most recent, Consecutive 2-months worth of asset statements (401K, checking, savings, CD’s, IRA’s….). Each
page of every asset statement needed. Most recent Quarterly end statement (if quarterly report).
4 – Tax returns for last 2 years filed (personal and business) may be required (ie. if self-employed, high-bonus
earner, etc.).
5 – Copy of fully-executed sales contract (purchase)
6 – If applicable, name, address, relations to self of any gift-givers.