|  |  |  |  |  |  |  |  | 
	
		| The following information is required in order to complete a loan application and submit to an automated underwriter, which will give us acceptance for your loan.  Please call Dawn Bushey at 302-226-5991 or 1-877-40BEACH 24 hours after completion of the loan application for status.  Thank you! | 
	
		| Borrower's First Name: |  | Co-Borrower's First Name: |  | 
	
		| Borrower's Last Name: |  | Co-Borrower's Last Name: |  | 
	
		| Borrower's SSN: |  | Co-Borrower's SSN: |  | 
	
		| Borrower's Home Telephone: |  | Co-Borrower's Home Telephone: |  | 
	
		| Borrower's Cellphone: |  | Co-Borrower's Cellphone: |  | 
	
		| Borrower's E-mail Address: |  | Co-Borrower's E-mail Address: |  | 
	
		| Borrower's Date of Birth: |  | Co-Borrower's Date of Birth: |  | 
	
		| Borrower's Years In School: |  | Co-Borrower's Years In School: |  | 
	
		| i.e. - 12 for high school, 16 for college, etc. | 
		| Borrower's Present Address: | 
	
		| City: | State: | Zipcode: | 
	
		| Own | Rent | Number of Years: | 
	
		| Co-Borrower's Present Address: | 
	
		| City: | State: | Zipcode: | 
	
		| Own | Rent | Number of Years: | 
	
		| Borrower's Previous Address if Present is less than 2 Years: | 
	
		| City: | State: | Zipcode: | 
	
		| Own | Rent | Number of Years: | 
	
		| Co-Borrower's Previous Address if Present is less than 2 Years: | 
	
		| City: | State: | Zipcode: | 
	
		| Own | Rent | Number of Years: | 
	
		| Subject Property Address: | 
	
		| City: | State: | Zipcode: | 
	
		| Primary Residence | Second Home | Investment Property | 
	
		| Expected Sales Price: $ | 
	
		| - enter a number without punctuation | 
	
		| Downpayment or Amount Willing to Pay in Order to Move In: % | 
	
		| - enter a % down, i.e. 0%, 5%, 10%, or 20 | 
	
		| Loan Term: (i.e. - 180, 240, or 360 month loan) | 
	
		| Loan Type | 
	
		|  | Fixed Rate | ARM | ARM Type:  years (3, 5, 7, 10) | 
	
		| Purpose of Loan: (i.e. - purchase, refinance, construction, or construction-permanent) | 
	
		|  | Purchase | Refinance (cash out) | Refinance (no cash out) | 
	
		|  | Construction | Construction (Permanent) | 
	
		| - additional information will be required if this loan is a refinance or a construction-permanent loan | 
	
		| Borrower's Employer Name: |  | 
	
		| Borrower's Employer Address: |  | 
	
		| City: | State: | Zipcode: | 
	
		| Borrower's Position/Title: |  | 
	
		| Borrower's Employer Phone Number: |  | 
	
		| Borrower's Years on Job: | Months: | 
	
		| Borrower's Years in Same Type of Work: |  | 
	
		| Borrower's Previous Employer Name: |  | 
	
		| Borrower's Previous Employer Address: |  | 
	
		| City: | State: | Zipcode: | 
	
		| Borrower's Previous Position/Title: |  | 
	
		| Borrower's Previous Employer Phone Number: |  | 
	
		| Dates Employed From | To: | 
	
		| Co-Borrower's Employer Name: |  | 
	
		| Co-Borrower's Employer Address: |  | 
	
		| City: | State: | Zipcode: | 
	
		| Co-Borrower's Position/Title: |  | 
	
		| Co-Borrower's Employer Phone Number: |  | 
	
		| Co-Borrower's Years on Job: | Months: | 
	
	
		| Co-Borrower's Years in Same Type of Work: |  | 
	
		| Co-Borrower's Previous Employer Name: |  | 
	
		| Co-Borrower's Previous Employer Address: |  | 
	
		| City: | State: | Zipcode: | 
	
		| Co-Borrower's Previous Position/Title: |  | 
	
		| Co-Borrower's Previous Employer Phone Number: |  | 
	
		| Dates Employed From | To: | 
	
		| 
 | 
	
		| Gross Monthly Income | Borrower | Co-Borrower | 
	
		| Base Income (Salary): | $ | $ | 
	
		| Overtime: | $ | $ | 
	
		| Bonuses: | $ | $ | 
	
		| Commissions: | $ | $ | 
	
		| - for salary divide yearly by 12 | 
	
		| - for overtime, bonuses, and commission average last 24 months and divide by 24 | 
	
		| 
 | 
	
		| Current Monthly Rent Payment:  (n/a if currently paying a mortgage) | 
	
		| Currently Monthly Mortgage Payment:  total PITI, principal, interest, taxes, and insurance | 
	
		| 
 | 
	
		| Assets: | 
	
		| Earnest Money Already Deposited in the amount of | 
	
		| List all Checking & Savings Accounts: | 
	
		| Name of Bank: | Type of Account: | Balance: $ | 
	
		| Name of Bank: | Type of Account: | Balance: $ | 
	
		| Name of Bank: | Type of Account: | Balance: $ | 
	
		| Name of Bank: | Type of Account: | Balance: $ | 
	
		| Name of Bank: | Type of Account: | Balance: $ | 
	
		| Stocks or Bonds: | 
	
		| Company Name: | Value: $ | 
	
		| Company Name: | Value: $ | 
	
		| Automobiles: | 
	
		| Year, Make, & Model: | Market Value: $ | 
	
		| Year, Make, & Model: | Market Value: $ | 
	
		| Vested Interest in Retirement Fund: $ | 
	
		| - take 70% of total value for qualification purposes | 
	
		| Other Assets (Personal Property, etc): $ | 
	
		| - if everything you owned needed to be replaced, give a general estimate of the incurred costs | 
	
		| 
 | 
	
		| Real Estate Owned: | 
	
		| Property Address: 
 | City, State, Zip: 
 | 
	
		| Property Description: 
 | Property Type: 
 | Present Market Value: $
 | Mortgage Payments: $
 | 
	
		| Property Address: 
 | City, State, Zip: 
 | 
	
		| Property Description: 
 | Property Type: 
 | Present Market Value: $
 | Mortgage Payments: $
 | 
	
		| Property Address: 
 | City, State, Zip: 
 | 
	
		| Property Description: 
 | Property Type: 
 | Present Market Value: $
 | Mortgage Payments: $
 | 
	
		|  | 
	
		| Please explain in detail any other pertinent information about what type of loan you are seeking in the space below: | 
	
		|  | 
	
		|  | 
	
		| Please check this box to signify that you are entirely finished with the loan application.  This box must be checkmarked before you can submit your application.  Thank you. | 
	
		|  | 
	
		|  |