FHA 203H

Dale Gremillion | Sr Loan Officer

Call Today: (512) 750-6363

Disaster Recovery? 203H 100% Loan

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Property Information

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How will This Property Be Used?*

What Type of Property are You Purchasing?*

What is the Estimated Purchase Price of Home?

FHA 203H*

What State will the Property Be Located?*

When Do You Plan to Purchase?*

Borrower Information

Name*

First Last

Current Address:*

Street Address City State ZIP Code

Number of Years at Current Address?

Phone*

Email*

Date of Birth*

Month

Day

Year

SSN

Social Security # is required to obtain a credit report and provide the loan pre-approval. If you do not want to provide your Social Security # online, a loan officer will contact you to obtain and go over your mortgage options. This is a Soft Inquiry.

Estimated Credit Score*

Are You a Veteran?*

Veteran Status?*

Do You Have VA Disability?*

Active Reserves?*

Are You a Native American?*

What Tribe Are You a Member of?*

Borrower VA Income

VA Income (LES) (Base Pay, Housing, Meals)

Borrower Income

Income Type*

Borrower W2 Income

Employer / Company*

How Many Years Have You Been on Your Current Job?

Monthly Income - (W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.)

Borrower Self Employment Income

Employer / Company*

How Many Years Have You Been on Your Current Job?

Monthly Income - (Self Employed: Net After Expenses)

Borrower Retirement Income

Monthly Income - (Retired: Pension)

Monthly Income - (SSI Award)

Monthly Income - (VA Retirement)

Borrower VA Other Income

Monthly Income - (VA Disability Awards)

Monthly Income - (VA Reservist)

Borrower Additional Income

Do You Have Other Income?*

Second Job, Disability, Child Support or Alimony

Borrower Additional Income

Second Job

SSI Disability Award

Child Support or Alimony

Borrower Assets

Checking

Savings

Investments

Borrower Dependents

Do You Have Dependents?*

Borrower Dependents

Number of Dependents

Monthly Amount (Child Support/ Alimony) Paid (If Applicable)

Borrower Properties

Do You Currently Own a Home?*

Current Homes?*

Borrower Declarations

Have You had a Bankruptcy in the Last 7 Years?*

Have You had a Foreclosure in the Last 7 Years?*

Spouse or CoBorrower

Are You Married?*

“Primary Residence” requires spouse information on all FHA, VA, USDA, HUD 184 Loans in Community Property States (AZ, CA, ID, LA, NV, NM, TX, WA, WI) Please select Yes for Co-Borrower if applicable.

Is Your Spouse Going to be or Do You Have a Coborrower?*

Spouse/Co-Borrower Information

Name*

First Last

Different Home Address?*

Address*

Street Address City State ZIP Code

Number of Years at Current Address?

Phone*

Email*

Date of Birth*

Month

Day

Year

SSN

Estimated Credit Score*

Are You a Veteran?*

Veteran Status?*

Do You Have VA Disability?*

Active Reserves?*

Are You a Native American?*

What Tribe Are you a Member of?*

Spouse/Co-Borrower VA Income

VA Income (LES) (Base Pay, Housing, Meals)

Spouse/Co-Borrower Income

Income Type*

Spouse/Co-Borrower W2 Income

Employer / Company*

Current Employment Years

How Long have you need on your current job?

Monthly Income - (W2 Employee: Include Gross Salary, Overtime, Commissions, Etc.)

Spouse/Co-Borrower Self Employment Income

Employer / Company*

Current Employment Years

How Long have you need on your current job?

Monthly Income - (Self Employed: Net After Expenses)

Spouse/Co-Borrower Retirement Income

Monthly Income - (Retired: Pension)

Monthly Income - (SSI Award)

Monthly Income - (VA Retirement)

Spouse/Co-Borrower VA Other Income

Monthly Income - (VA Disability Awards)

Monthly Income - (VA Reservist)

Spouse/Co-Borrower Additional Income

Do You Have Other Income?*

Second Job, Disability, Child Support or Alimony

Spouse/Co-Borrower Additional Income

Second Job

SSI Disability Award

Child Support or Alimony

Spouse/Co-Borrower Assets

Checking

Savings

Investments

Spouse/Co-Borrower Dependents

Do You Have Dependents?*

Spouse/Co-Borrower Dependents

Number of Dependents

Monthly Amount (Child Support/ Alimony)

Spouse/Co-Borrower Properties

Do You Currently Own a Home?*

Current Homes?*

Borrower Declarations

Have You had a Bankruptcy in the Last 7 Years?*

Have You had a Foreclosure in the Last 7 Years?*

Authorization / Submission

Credit Authorization*

Spouse or Coborrower Credit Authorization*

Contact Consent*

I Agree to be Contacted

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How Did You Hear About Us?*

WebSearch*

Family/Friend

Realtor/Broker Name

Realtor/Broker Phone Number