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Request an Application for a Mortgage Online. It's Fast & Easy... Or Phone Us for Assistance
This is only a request for a application - It does not constitute an application with Eastland until a Loan Officer Issues A Loan Service Agreement.
Are you a current property owner ?  Yes, No
 Applicant Information
Loan Amount Requested*
Purpose of Loan
 
 Primary Borrower  Co-Borrower
First Name*
First Name*
Last Name*
Age
Last Name*
Social Security Number:
- -
Social Security Number:
- -
Home phone
Home phone
Work phone
Work phone
 Property Information
Owner Occupied,  Vacation Home,  Investment Property
 Subject Address
 Street 
State 
City 
Zip Code 
Names on Deed 
.Yearly Taxes ($) 
Insurance ($) 
 Refinancing
Orig. Purchase Date
Orig. Purchase Price ($)
Present Market Value ($)
1st Mortgage Balance ($)
2nd Mortgage Balance ($)
1st Mortgage Holder
Interest Rate
(%)
2nd Mortgage Holder
Interest Rate
(%)

Current Payment ($)
Years 
Remaining: 

Current Payment ($)
Years 
Remaining: 
Include Taxes and insurance ?
Yes No
Include Taxes and insurance ?
Yes No
 Purchases
Have you found the  particular home you want to purchase ?
Yes No
Purchase Price:
($)
Down payment:
($)
Are you in Contract?: Yes No Estimated Closing Date:
Source of Funds: Seller Concession:
(%)
 Applicant Employer  Co- Applicant Employer
Name:
Name:
Phone:
Phone
Income Annual ($):
Income Annual ($):
Self Employed ?
  Self Employed ?
Position:
Years:
  
Position:
Years:
  
Additional Income ($):
Additional Income ($):
 Other
E-Mail:
Best time to call:
How did you find our site?
How would you rate your credit?:

  
Do you know your credit score?:
How would you rate your mortgage/rental history:
Comments:

* I/We hereby give our consent to Eastland Mortgage, to prequalify our inquiry. To become an active application, a loan agreement with Eastland Is Required. If pr-qualified, a loan application may be reccomended, and a loan officer will contactl you. Eastland Mortgage, may obtain any and all information concerning a credit application, obligations and all other credit matters which they may require in connection with an application for a mortgage loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the original which we have submitted.

 

 
 
 
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