Application Form - Apply Today Mortgage Brokers Portland

Please fill out our Pre-Qualification form below.
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Mortgage Form Application

Borrower
First Name*
Middle Initial*
Last Name*
DOB Month*
DOB Day*
DOB Year*
Social Security Number
Email*
Cell Phone Number...*
Address*
City*
State*
Zip*
How Long At Current Address
Living Status at Address
Loan Officer
Income
Notice: Alimony, Child Support Or Separate Maintenance Income Need Not Be Revealed If The Borrower Or Co-Borrower Does Not Choose To Have It Considered For Repaying This loan.
Gross Monthly Income
Employment Section
Employment Status
Name Of Employer
How Many Years
How Many Months
Assets
Checking
Savings
Retirement Funds
Other Assets
Additional Real Estate Owned
Do You Own Additional Real Estate
How Many Properties
Additional Details
Marital Status
Do you pay child support or alimony
How Much Per Month
Is This a Purchase or Refinance
Are You a Veteran
How Many Dependents
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Age of Dependent
Childcare Expenses Monthly
First Time Home Buyer
Co-Borrower
Click here if you have a Co-Borrower
- Click here if you have a Co-Borrower
First Name*
Middle Initial*
Last Name*
DOB Month*
DOB Day*
DOB Year*
Social Security Number
Email*
Cell Phone Number...*
Click Here If Address is Same as Above
- Click Here If Address is Same as Above
Address*
City*
State*
Zip*
How Long At Current Address
Living Status at Address
Income
Notice: Alimony, Child Support Or Separate Maintenance Income Need Not Be Revealed If The Borrower Or Co-Borrower Does Not Choose To Have It Considered For Repaying This Loan.
Gross Monthly Income
Employment Section
Co Bro Employment Status
Co Bro Name of Employer
Co Bro How Many Years employee
Co Bro How Many Years self employee
Co Bro How Many Months employee
Co Bro How Many Months self employee
Assets
Co Bro Checking
Co Bro Savings
Co Bro Retirement Funds
Co Bro Other Assets
Additional Real Estate Owned
Co Bro Do You Own Additional Real Estate
Co Bro How Many Properties
Additional Details
Co bro Marital Status
Co Bro Do you pay child support or alimony
Co Bro How Much Per Month
Co Bro Are You a Veteran
How Did You Hear About Us?
How did you hear about us
Friend Name
Friend Cell Phone Number
RealtorName
Realtor Cell Phone Number
Builder Name
Builder Cell Phone Number
Authorization
Borrower Authorization Checkbox
- Borrower Signature
By affixing my electronic signature, I grant that this information be used by Vantage Mortgage Group, Inc. to pre-qualify me for a mortgage loan, including the right to obtain my credit report. I understand that the information will remain private and confidential. By submitting and signing this electronically, this application is to be deemed the equivalent of the original.
Upload borrower digital signature
- Click Here If You Want To Upload Digital Signature
Signature*
For easier signing please turn the phone sideways.
Borrower digital signature upload*
Accepted file types: jpg, png, jpeg.
Co-Borrower Signature Below
Co Borrower Authorization Checkbox
- Check here if co-borrower is not present to sign the digitial signature.
Chk Co borrower upload digital signature
- Click Here If You Want To Upload Digital Signature
Please Provide Your Co-Borrower Digital Signature:
Co Signature*
For easier signing please turn the phone sideways.
Co borrower digital signature
Accepted file types: jpg, png, jpeg.
Co-Borrower signature Email
Co-Borrower Cell Phone Number*

Mortgage Form Application

Borrower

Loan Officer

Income

Employment Section

Assets

Additional Real Estate Owned

Additional Details

Co-Borrower

Income

Employment Section

Assets

Additional Real Estate Owned

Additional Details

How Did You Hear About Us?

Authorization