First Atlantic Mortgage

First Atlantic Mortgage Online Mortgage Application
At First Atlantic Mortgage, Inc., your information and privacy is very important to us.  First Atlantic Mortgage makes it extremely easy to begin your Mortgage process. Your information that you enter over our mortgage online application and transmit via the internet is protected by a secure 128bit SSL encryption.

Are you a current homeowner ?  Yes No
 Applicant Information
Loan Amount Requested*
 Purpose of Loan
 
 Applicant  Co-Applicant
First Name*
 First Name*
Last Name*
 Age
 Last Name*
Social Security Number:
- - 		Social Security Number:
- -
Home Address
Home Address
Home phone
 Home phone
Work phone
 Work phone
 Property Information
Owner Occupied,  Vacation Home,  Investment Property
 Subject Address
 Street 
 State 
City 
 Zip Code 
Names on Deed 
.Yearly Taxes ($) 
 Insurance ($) 
 Refinancing
Orig. Purchase Date
 Orig. Purchase Price ($)
Present Market Value ($)
1st Mortgage Balance ($)
 2nd Mortgage Balance ($)
1st Mortgage Holder
 Interest Rate
(%)		 2nd Mortgage Holder
 Interest Rate
(%)

Current Payment ($)
 Years 
Remaining: 
Current Payment ($)
 Years 
Remaining: 
Include Taxes and insurance ?
Yes No 		Include Taxes and insurance ?
Yes No
 Purchases
Have you found the  particular home you want to purchase ?
 Yes No
Purchase Price:
($)		 Down payment:
($)
Are you in Contract?: Yes No Estimated Closing Date:
Source of Funds: Seller Concession:
(%)
 Applicant Employer  Co- Applicant Employer
Name:
 Name:
Phone:
 Phone
Income Annual ($):
 Income Annual ($):
Self Employed ?
   Self Employed ?
Position:
 Years:
  		 Position:
 Years:
  
Additional Income ($):
 Additional Income ($):
 Other
E-Mail:
 Best time to call:
How did you find our site?
 How would you rate your credit?:

  
Do you know your credit score?:
 How would you rate your mortgage/rental history:
Comments:

* I/We hereby give our consent to First Atlantic Mortgage Inc., and any credit reporting bureau designated by First Atlantic Mortgage, to obtain any and all information concerning our employment, checking and/or savings account, obligations and all other credit matters which they may require in connection with our application for a mortgage loan. This form may be reproduced or photocopied and a copy shall be as effective consent as the original which we have submitted.

     

Submit loan application for processing after answering as many questions as possible. A loan officer will contact you within 24 hours.

 

 

 

"Financing the American Dream"

434 South Poplar St
Hazleton, PA 18201
Phone: 570-501-8918
Toll Free: 1-800-532-4210
Fax: 570-501-8919
email: firstatl@ptd.net

 

 

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