Carlson Mortgage, LLC - Online Loan Application

Carlson Mortgage, LLC
Mortgage Brokers

Phone: (314) 329-7314
Fax: (314) 827-0041

Apply Online - Full Form

If you are ready to apply use this full application form.

Loan Setup Information

How did you find out about us?	or other
Purpose of loan:
Property value:	$
Loan amount you are applying for	$ or % Down payment
Is there a co-borrower?	Yes No
In which state are you looking for a loan?
Do you currently own any real estate?	No Yes, I own properties
How is your credit?	Excellent OK, but some problems Major credit problems Don't know
Primary Borrower
Please specify your full legal name. (Include Jr. or Sr. if applicable)
Your Name:	First Name:
	Middle Name:
	Last Name:
Home phone number:	- -
Work phone number:	- -
Best time to call:
Email address:

Where should mail and overnight packages be sent?

Mailing address to use if Other Address was selected:

Street Address:

City, State, Zip:
,

Property Information

Street Address:

City, State, Zip:

Property type:

Year built:

Purpose of loan: Refinance

Property will be:

Year acquired:
Original cost:$
Amount existing liens:$
Purpose of Refinance:

Title will be held in what name(s):

Manner in which title will be held:

Borrower Information

Please complete this information for borrower:
Social security number:	- -
Date Of Birth:	/ /
Years in school:
Number of dependents:	Ages (separate ages with commas):
Marital Status:	(Note: Unmarried includes single, divorced, widowed)
Current Address
Street Address:
City, State, Zip:
Rent or Own?	for: years months
If residing at present address for fewer than two years, complete the following:
Former Address
Street Address:
City, State, Zip:
Rent or Own?	for: years months
Former Address
Street Address:
City, State, Zip:
Rent or Own?	for: years months

Borrower Employment Information

Current Employer
Name:
Street Address:
City, State, Zip:
Position/Title/Type of Business:
Self employed?	Yes No
Employed for:	years months
Years employed in this line of work/profession:
If employed in current position for fewer than two years, or if currently employed in more than one position, complete the following:
Previous Employer
Name:
Street Address:
City, State, Zip:
Position/Title/Type of Business:
Self employed?	Yes No
Business Phone (incl. area code):	- -
Dates: (From - To)	-
Monthly Income:$
Previous Employer
Name:
Street Address:
City, State, Zip:
Position/Title/Type of Business:
Self employed?	Yes No
Business Phone (incl. area code):	- -
Dates: (From - To)	-
Monthly Income:$

Monthly Income Information

Borrower Gross Monthly Income
Base Empl. Income:*	$
Overtime:	$
Bonuses:	$
Commissions:	$
Dividends/Interest:	$
Net Rental Income:	$
Other:**	$

Other:**	$

*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

**Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co-Borrower(C) does not choose to have it considered for repaying this loan.

Housing Expense Information

	Present	Proposed
Rent:	$
First Mortgage (P&I):	$
Second Mortgage (P&I):	$
Hazard Insurance:	$
Real Estate Taxes:	$
Mortgage Insurance (PMI):	$
Homeowner Assn. Dues:	$
Other:	$

Asset Information

1.	Account/Asset Type: Name of Bank or Credit Union: Acct. no. and balance: No. Bal. $
2.	Account/Asset Type: Name of Bank or Credit Union: Acct. no. and balance: No. Bal. $
3.	Account/Asset Type: Name of Bank or Credit Union: Acct. no. and balance: No. Bal. $
4.	Account/Asset Type: Name of Bank or Credit Union: Acct. no. and balance: No. Bal. $
Additional assets:
	Life insurance net cash value: $ Face amount: $
	Vested interest in retirement fund (IRA, 401K, SEP): $
	Automobiles: Year: Make: Value: $ Year: Make: Value: $ Year: Make: Value: $

Liability Information

Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real-estate loans, alimony, child support, stock pledges, etc. Use continuation sheet if necessary. Indicate those liabilities which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.

1.	Name of creditor:
	Type of liability:
	Monthly payment:	$
	Unpaid balance:	$
	Will this debt be paid off?	Yes No
2.	Name of creditor:
	Type of liability:
	Monthly payment:	$
	Unpaid balance:	$
	Will this debt be paid off?	Yes No
3.	Name of creditor:
	Type of liability:
	Monthly payment:	$
	Unpaid balance:	$
	Will this debt be paid off?	Yes No
4.	Name of creditor:
	Type of liability:
	Monthly payment:	$
	Unpaid balance:	$
	Will this debt be paid off?	Yes No

Other Payments	Monthly Payments:
Alimony payment:	$
Child support payment:	$
Separate maintenance payment:	$
Job related expense (child care, union dues, etc.):	$

Details of Transaction

Are you going to be documenting your income?
Yes No

Does the property have more than 5 acres?
Yes No

Name of your condo or townhouse association:

Phone number of the condo assocation:
- -

Borrowers Landlord Information (Required to verify rent history)
Landlord name:
Street address:
City, State, Zip:
Phone:	- -

Refinance Transaction Information

Which city would you prefer to sign loan documents?

Are you currently in the process of remodeling, making additions, or completing any other construction on this property?
Yes No

Balance of your existing mortgage: $

If your new loan amount is not enough to pay off the existing loan and closing costs, how would you like to pay the difference?
Increase the new loan amount
Do not increase the loan amount. I will bring in cash if required.

Do you have a home equity line of credit or a second mortgage?
No
Yes, I have a home equity line of credit.
Yes, I have a second mortgage or an equity loan.

Borrower Declarations

a.	Are there any outstanding judgments against you?
	Yes No
b.	Have you been declared bankrupt within the past 7 years?
	Yes No
c.	Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
	Yes No
d.	Are you a party to a lawsuit?
	Yes No
e.	Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details (in space below), including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action.)
	Yes No
f.	Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee? if "Yes," give details (in space below) as described in the preceding question.
	Yes No
g.	Are you obligated to pay alimony, child support, or separate maintenance?
	Yes No
h.	Is any part of the down payment borrowed?
	Yes No
i.	Are you a co-maker or endorser on a note?
	Yes No
j.	Are you a U. S. citizen?
	Yes No
k.	Are you a permanent resident alien?
	Yes No
l.	Do you intend to occupy the property as your primary residence? If "Yes," complete question m below.
	Yes No
m.	Have you had an ownership interest in a property in the last three years?
	Yes No
m(1)	What type of property did you own?
	Primary Residence Secondary Residence Investment (rental)
m(2)	How did you hold title to the home-solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
	Sole (Individual) Joint with Spouse Joint with Other than Spouse

Acknowledgment and Agreement

The undersigned specifically acknowledge(s) and agree(s) that:

The loan requested by this application will be secured by a first mortgage or deed of trust on the property described herein;
The property will not be used for any illegal or prohibited purpose or use;
All statements made in this application are made for the purpose of obtaining the loan indicated herein;
Occupation of the property will be as indicated above;
Verification or reverification of any information contained in the application may be made at any time by the Lender, its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved;
The Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application if any of the material facts which I/we have represented herein should change prior to closing;
In the event my/our payments on the loan indicated in this application become delinquent, the Lender, its agents, successors and assigns, may, in addition to all their other rights and remedies, report my/our name(s) and account information to a credit reporting agency;
Ownership of the loan may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me;
The Lender, its agents, successors and assigns make no representations or warranties, express or implied, to the Borrower(s) regarding the property, the condition of the property, or the value of the property. Certification: I/We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section 1001, et seq. and liability for monetary damages to the Lender, its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I/we have made on this application.

Additional Information

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish the information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

BORROWER

I do not wish to furnish this information

Ethnicity: Hispanic Not Hispanic

Race/National Origin:

Asian American Indian or Alaska Native Black

White Native Hawaiian or Other Pacific Islander

Gender: Male Female

Additional Information

Please enter any comments that could be helpful in processing your application:

Complete Your Application

By submitting this online application I/we authorize this mortgage company to check my credit, employment history and other information stated on this application.

Please take a few moments to review your application. If everything is correct, click the Submit button below.