AA CAROLINA MORTGAGE
Online Quick Application

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If you prefer not to apply online, click here for a short contact form or click here for a full printable application you can fax (336-921-2741) or mail in. Our office telephone number is (828)695-8444.

Please provide the following contact information: (an asterisk * denotes a required field)

General Information

Type of Loan Requested:

Select any of the following options that apply:
Amount Requested: $  
Loan Time: When do you expect to obtain financing?

30 days  60 days  90 days  over 90 days
*Borrower
*Co-Borrower
*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
Borrower Marital Status: Married  Single
Co-Borrower Marital Status: Married  Single
Social Security Number - Borrower
This form is NOT secure.		   Date of Birth - Borrower
Social Security Number - Co-Borrower
This form is NOT secure.		    Date of Birth - Co-Borrower
Work Phone Borrower:
Work Phone Co-Borrower:
*Home Phone
FAX
Best Time to Call:
*E-mail:
Do you   Rent?  Own?     # of years: 
Credit Rating: How do you rate your credit?  
*Borrower Occupation 

Co-Borrower Occupation
Borrower Employer   Co-Borrower Employer
Borrower Years at Current Job:   Co-Borrower Years at Current Job:
Borrower Years in field of work: Co-Borrower Years in field of work:

Gross Annual Income - Borrower     
Gross Annual Income - Co-Borrower 
Combined Monthly Debt
Has Borrower ever declared Bankruptcy?
Has Co-Borrower ever declared Bankruptcy?

Home Information

Home Type:
Has your home been listed for sale in the last 90 days?
If refinancing, when did you purchase your home?
Purchase Price: $
Value of Property Owned or Purchasing: $
Owner Occupied?

Loan Information

Current 1st Mortgage Holder:
Current 1st Mortgage Balance: $
1st Mortgage Interest Rate: %     Rate Type:
1st Mortgage Monthly Payment: $ Includes Tax & Insurance?
If tax and insurance not included in monthly mortgage payment, please provide amount: $
Current 2nd Mortgage Holder:
Current 2nd Mortgage Balance: $
2nd Mortgage Monthly Payment: $
Are you currently behind on Payments?:

How did you hear about us?*

Purpose of Loan

Please tell us the purpose of your loan in the area provided below.


Please enter the numbers shown above:

 

 

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