INTEGRITY LENDING
Online Application

* Indicates Required Fields
What Kind of Loan Are You Looking For?
Type of Loan
Secure Link
Secure Socket Layer (SSL) encryption
Residence Type:
Property Type:
Number of Units:
Length of loan desired?
Sales Price or Home-Value if Refi:
Estimated Loan Amount ($) *:
Please Tell Us About Yourself
Applicant Name *,     Middle In.

Applicant Last Name *

Home Phone *
( ) -
Work Phone
( ) -
Social Sec. Number:
- -
Birth Date:
Years of Schooling

Email *
Co-Applicant Name,   Middle In.

Co-Applicant Last Name

Home Phone
( ) -
Work Phone
( ) -
Social Sec. Number:
- -
Birth Date:
Years of Schooling

Email
Current Address

City

State

Zip
-
Length of time at address
 Years    Months
Mailing Address (Same Address as above )
Address

City

State

Zip
-
Employment Information

1.
Applicant Employer

Position
Years on Job

Years in same field
Monthly Income ($)

2.
Co-Applicant Employer

Position

Years on Job

Years in same field
Monthly Income ($)
3. Other Income Applicant
Monthly Income ($)
4. Other Income Co-Applicant
Monthly Income ($)
Total Gross Monthly Income ($):
Your Assets
1. Cash Deposit (Account Type)
Amount ($)
2.
1. Checking and Savings Accounts
Financial Institution
Amount ($)
Account Number
2. Financial Institution
Amount ($)
Account Number
1. Stocks & Bonds (Description)
Amount ($)
2.
3.
1. Life Insurance
Face Amount ($)
1. Automobile Type
Est. value ($)
2.
3.
1. Other Assets (Description)
Amount ($)
2.
3.
4.
Please Describe Your Housing Expenses
Monthly Pmt ($) Monthly Pmt ($)
1st Mortgage 2nd Mortgage
Property Taxes Home Owners Ins.
Mortgage Insurance
Total Current Housing Expenses:
Aprx. 1stMtg Balance ($): Aprx. 2ndMtg Balance ($):
Max Line of Credit ($): Aprx. Home value ($):
Home is to be:
Please list your Monthly Debts
Type of Liability
Account Number
Cur. Bal. ($)
Monthly Pmt. ($)
1.
2.
3.
4.
5.
Projected date of closing & Comments
Projected date of closing
would be: 
around:   : 
prefer contact by: 
Comments: 
How did you hear about us? 




 
Equal Housing Lender. 2006-2014 Integrity Lending Corporation • NMLS #184872 • All rights reserved.   Privacy.