HOA - EZApp Thank you for deciding to explore whether the Home Ownership Accelerator® Loan would be a great fit for you. To start the analysis, please answer this quick survey about your current personal financial situation. All of this information will be held in strict confidence, as always. Please complete all fields that are applicable and submit to the proper Mortgage Coach below.

Borrower information

* = Required Fields

*Name

*Address

*City

*State

Zip

*Phone

FAX

*Email

Income

Gross Net

Current Home Value
Current 1st Mortgage

Balance

Monthly Payment

Interest Rate

%

Term

 Fixed ARM

Date Obtained
Current 2nd Mortgage (if Applicable)

Balance

Monthly Payment

Interest Rate

%

Term

 Fixed ARM

Date Obtained
Current Expenses

What type of payment(s) are you making now?

P&I I / O Option ARM Minimum

Do you have any car payments?

Per Month Balance(s)

Do you have any credit cards that you do not pay off in full every month?

 Per Month Balance(s)

Do you have the need for immediate cash-out from your home?

yes no
(if yes, how much?)

What are the current balance(s) in your liquid asset account(s)?


Please do not include retirement accounts such as 401k, IRA, STRS, etc.

At end of month, after you deposit your paycheck(s) and pay all your expenses, approximately how much is left over on average?
Referral Information

*Whose team are you on?

*Your Sr. Loan Officer /Mortgage Coach ?

 *Referred By:

*Contact Number