Home Equity Line of Credit Application

HOME EQUITY LINE OF CREDIT APPLICATION

Loan Request

Desired Credit Limit:    Purpose of Funds:

Requested First Advance Amount (if any):

Applicant Information

Date of Birth:    Phone:

Years at Address:    Own or Rent:

Co-Applicant (Optional)

Include Co-Applicant:

Property to Be Secured

Estimated Market Value:    Year Purchased:

Property Type: Primary Residence Second Home Investment

Outstanding Balance on Mortgage:    Monthly Payment:

Employment & Income

Job Title:    Years on Job:

Assets & Liabilities

Total Monthly Debt Obligations:

Declarations

Have you declared bankruptcy in the past 7 years?   Yes No

Are there any pending judgments, suits or tax liens against you?   Yes No

Authorization & Certification

By signing below, Applicant certifies that the information provided in this application is true, complete and correct to the best of Applicant's knowledge. Applicant authorizes the lender and its agents to verify any information provided, to obtain credit reports, employment verification, bank and asset verifications, and to order an appraisal and flood determination as required. Applicant understands that fees for credit reports and appraisal services may be charged whether or not the line of credit is approved.

Applicant further acknowledges that this application does not constitute a commitment to lend. Any extension of credit is subject to final credit approval, execution of definitive loan documents, completion of satisfactory title and security documentation, and compliance with all underwriting conditions. Applicant agrees to pay any third-party fees disclosed at or prior to closing.

Consent to Electronic Disclosures: Applicant consents to receive disclosures and communications electronically where permitted by law and as specified by the lender. Applicant may withdraw consent in writing, subject to lender's ability to comply.

Equal Credit Opportunity Notice: The lender will consider this application without regard to race, color, religion, national origin, sex, marital status, age provided the applicant has the capacity to enter a binding contract, or because all or part of the applicant's income is derived from any public assistance program.

Applicant Consent to Contact: Applicant consents to be contacted at the telephone numbers provided, including calls using automated dialing equipment or artificial voice or text messages, for purposes of loan processing and collection where permitted by law. Applicant may withdraw consent by written notice to the lender.

Acknowledgments (Check to Confirm)

Applicant certifies all statements are true and complete.

Applicant understands appraisal and third-party fees may be charged and that application is not a commitment to lend.

Additional Information

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