Mortgage Analysis Form

1st Applicant - First Name                Initial    Last Name

Date of Birth //  Social Security Number --

2nd Applicant - First Name                Initial    Last Name

Date of Birth //  Social Security Number --

Telephone: Work   --  Home  --

Employment Information

1st Applicant - Place of Employment              How Long?

Approximate Annual Income?    Other income?

Bankruptcy? Yes No                         If yes, what year? 

Judgments or liens? Yes No                         Foreclosures? Yes No

2nd Applicant - Place of Employment             How Long?

Approximate Annual Income?    Other income?

Bankruptcy? Yes No                              If yes, what year? 

Judgments or liens? Yes No                          Foreclosures? Yes No

For Refinancing Only:

Property Information

Address                            City                       State   Zip Code

Same as primary residence

Residence Information

Address                            City                       State   Zip Code

How long have you owned this property?

What is the property's value? 

How much do you owe on the property?

Monthly Payments   Taxes   Insurance