Property Management Services - Home Loan Application

(please check all that apply)

Zero down payment
1% down payment
3% down payment
5% down payment
10% down payment
25% down payment
Primary Residence
Second Home
Construction
Fixed Rate
Adjustable Rate Loans
VA Loans

Asterisk * denotes important information...
*Applicant's Name:
Co-Applicant Name:
*Mailing Address:
*City, State, Zip:
*Daytime Phone:
Evening Phone:
*Email Address:

*Applicant Social Security number:
Co-Applicant Social Security number:

*Applicant DOB:
Co-Applicant DOB:

Employment:

Applicant:
from to
Annual Income: $

Co-Applicant:
from to
Annual Income: $

Other Income: $

Do you own a home? Yes No

If Yes, will you Rent or Sell? 
  Rent Sell Don't know Yet Does Not Apply

Cash to be used for down payment: $

Did you serve more than 24 months in the military?
  Yes  No

Are you eligible for a Veterans Administration (VA) loan?
  Yes   No    Not Sure

If Military, your rank:

If Military, number of years in service:

How did you hear about JanBernard.com?

If Other, Please specify:

Have you read the consumer notice below?

Notice:  By submitting this form you authorize Jan Bernard, or her affiliates, to obtain a file credit report from a credit reporting agency.  You also agree to allow Jan Bernard, or her affiliates, to contact you regarding their mortgage services and products.  This application does not constitute a loan commitment from Jan Bernard or her affiliates.

Your information will be forwarded to several representatives of local lenders.  Each representative will be in touch with you to discuss a specific program to best meet your needs.

Your comments/questions:

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