Great Northern Lending :: Complete Loan Application

LOAN TYPE

FULL NAME

PHONE NUMBER

E-MAIL ADDRESS

MAILING ADDRESS

LOAN AMOUNT

CREDIT SCORE

Yes, I understand an d agree to the terms

and conditions

See full terms and conditions.

Complete Loan Application

Great Northern Lending Corporation Secure Loan Application:

General Information:
Name:
E-mail:
Phone #:

PERSONAL INFORMATION
Borrower:
Name:
Social Security #:
Date of Birth:
Co-Borrower:
Co-Borrower:
Social Security #:
Date of Birth:

ADDRESS INFORMATION
Current Address:
Street Address:
City:
State:
Zip Code:
Previous Address:
Street Address:
City:
State:
Zip Code:
Home Information:
Home Style:	Ranch Two Story Cape Cod Duplex Comm. Other
Bedrooms:
Bathrooms
Garage:	Yes No
Garage Type:
Age of Home:
Year Purchased:
Dollar Amount:
Tax Value:
Yearly Tax:
Yearly Home Ins:
Last App. Value:

MORTGAGE INFORMATION
First Mortgage:
Lender:
Taxes and Ins. Escrowed:	Yes No
Rate F V:
Loan Term:
Payment:
Balance:
Second Mortgage:
Lender:
Taxes and Ins. Escrowed:	Yes No 1st 2nd
Rate F V:
Loan Term:
Payment:
Balance:

EMPLOYMENT INFORMATION
Borrower Employment Information:
Business:	Self Employed FT PT
Business Address:
Business Phone #:
Position:
Time at Job:
Hourly Wage:
Monthly Salary:
Yearly Salary:
Average Hours:
Prevouis Borrower Employment Information: (if less then 2 years)
Business:	Self Employed FT PT
Business Address:
Business Phone #:
Position:
Time at Job:
Hourly Wage:
Monthly Salary:
Yearly Salary:
Average Hours:
Co-Borrower Employment Information:
Business:	Self Employed FT PT
Business Address:
Business Phone #:
Position:
Time at Job:
Hourly Wage:
Monthly Salary:
Yearly Salary:
Average Hours:
Prevouis Co-Borrower Employment Information: (if less then 2 years)
Business:	Self Employed FT PT
Business Address:
Business Phone #:
Position:
Time at Job:
Hourly Wage:
Monthly Salary:
Yearly Salary:
Average Hours:

ADDITIONAL INFORMATION
Decision Maker:
Best Time to Call:	Hour: Zone:
Loan Motivation:
I give Great Northern Lending permission to call me even if I am on the do not call list at the federal or state level until such time as I withdraw permission in writing.

Toll Free Number 877-81-RATES • 866-80-RATES (72837) • Fax 218-666-2004

John & Jeff Chaulklin - President & Vice-President
Great Northern Lending Corp.

Last updated: Thursday, June 5, 2008
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