Home Equity Loan Application

THE AMERICAN FINANCIAL EXCHANGE

HOME EQUITY LOAN-APPLICATION

How Did You Hear About Us?: Pick Here Web Radio TV Newspaper Realtor Friend or Family Member

Desired Loan Amount: $ (Example: 50,000) Enter at least $50,000 to get a offer!

Please Tell Us Your Goals And Objectives With This Loan:

APPLICANT INFORMATION

First Name: Mid. Init.: Last Name:

Date of Birth: (Example: 01/01/1900)

Social Security Number: (Example: 333-33-3333)

CURRENT ADDRESS

Address 1:

Address 2:

City: State: Zip:

Home Phone (with Area Code): 1- (Example: 734-777-5555)

Cell Phone (with Area Code): 1- (Example: 734-777-5555)

Email:

APPLICANT INCOME AND CREDIT INFORMATION

Income Type: Pick Here W2 Employee 1099/Commission Self-Employed Fixed Income Select A Credit Profile: Pick Here Good Credit 700 Plus Fair Credit 625-699 Sub-Prime 575-624 Bad Credit 500-574 No Credit Score N/A

Company Name/Employer:

Position Or Job Title:

How Long Have You Been With This Company? Years

Hourly Wage: $ (Example: 20.00) Salary Wage Pre Year: $ (Example: 100,000)

C0-APPLICANT INFORMATION

Co. First Name: Co. Mid. Init.: Co. Last Name:

Co. Date of Birth: (Example: 01/01/1900)

Co-Social Security Number: (Example: 333-33-3333)

CURRENT ADDRESS

Address 1:

Address 2:

City: State: Zip:

Home Phone (with Area Code): 1- (Example: 734-777-5555)

Cell Phone (with Area Code): 1- (Example: 734-777-5555)

Email:

CO-APPLICANT INCOME AND CREDIT INFORMATION

Income Type: Pick Here W2 Employee 1099/Commission Self-Employed Fixed Income Select A Credit Profile: Pick Here Good Credit 700 Plus Fair Credit 625-699 Sub-Prime 575-624 Bad Credit 500-574 No Credit Score N/A

Company Name/Employer:

Position Or Job Title:

How Long Have You Been With This Company? Years

Hourly Wage: $ (Example: 20.00) Salary Wage Pre Year: $ (Example: 100,000)

YOUR PROPERTY INFORMATION

Appraised Value Of Home Today: $ (Example 250,000)

Reason For Loan: Pick Here Lower Monthly Payment Lower Rate Payoff Bills Cash Out

Balance Of 1st Mortgage:$ (Example: 200,000)

Rate On 1st Mortgage: % (Example: 10)

Balance Of 2nd Mortgage: $ (Example: 100,000)

Rate On 2nd Mortgage: % (Example 10)

Annual Property Taxes: $ YR. (Example: 1,200)

Annual Homeowners Insurance: $ YR. (Example: 1,200)

Does Your Monthly House Payment Include Taxes And Insurance: Yes NO

LET US KNOW IF YOU HAVE ANY QUESTIONS OR IF YOU WOULD LIKE TO PROVIDE ANY ADDITIONAL INFORMATION.

By Clicking The Apply Now Button, You Agree To Our Privacy Policy And Understand That You Will Be Contacted Either By Phone Or Email By A Mortgage Banker At American Financial Exchange. By Clicking The "Apply Now" Button: I/We authorize American Financial Exchange, its successors and or assigns to investigate any and all information in order to process this mortgage transaction. This will include, but is not limited to, a request by our Lending Partners for a mortgage banking credit report.