Quick Application

Please complete the following information. A Capital Mortgage Funding Loan Officer will then be in contact. Should you have any questions, please call us at 800-356-9728.

* Denotes a required field

Basic Information

*Credit Union Name:

*Mortgage Purpose: Purchase Pre-Approval Refinance Refinance Cash-Out

Borrower Information

*First Name: Middle Initial: Last Name:

*Social Security Number:

*Birthday: [Please Select] January February March April May June July August September October November December  /  - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  / 

Co-Borrower Information

First Name: Middle Initial: Last Name:

Social Security Number:

Birthday: [Please Select] January February March April May June July August September October November December  /  - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31  / 

Contact Information

*Address
(Use both lines if nessacery):

*City: *State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Colombia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip:

*Home Phone #: ( ) -

Work Phone #: ( ) -

*Email:

Best Time to Contact You:

Property Information

*City: *State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Colombia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Type: Single Family Condominium Manufactured Rural

Financial Information

*Monthly Income:

*Your Credit History: Excellent Good Fair Poor

*Loan Type: Conventional Non-Conforming FHA VA

Purchase Information

Price Range: $ to $

Down Payment Amnt: 0 5% 10% 15% 20%

Down Payment Source: [Select Please] Checking/Savings Sale of current home Retirement account Gift Other

Refinance Information

Est. Property Value: $ Occupancy Type: [Select Please] Primary Residence Secondary Home Investment Property

1st Mortgage Balance: $

2nd Mortgage Balance: $

Loan Type:

Interest Rate:

P & I:

Taxes / Ins.:

Mortgage Ins.:

Comments

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