Welcome to the USA Realty and Loans Secure On Line Loan Application.

Welcome to the USA Realty and Loans Secure On Line Loan Application.

We provide fast mortgage approvals and your application will receive immediate attention. Please
fill out this loan application as completely as possible, and press the submit button when done.
Items with a * next to them are required to be filled out. Next to some questions, you will find a help icon. If clicked, a popup window will appear displaying some helpful hints. Thank you!


  STEP ONE: BORROWER AND CO-BORROWER INFORMATION  
BORROWER INFORMATION
*First Name
Middle Name
*Last Name
*Social Security Number:
*Date of Birth (mm,dd,yyyy)
Home Phone Number
*Cell Phone Number:
*Work Phone Number
*Email Address
CO-BORROWER INFORMATION
First Name
Middle Name
Last Name
Social Security Number:
Date of Birth (mm,dd,yyyy)
Home Phone Number
Cell Phone Number:
Business Phone Number
Email Address

  STEP TWO: LOAN INFORMATION  
*Property Use:
*Loan Purpose: More Information!
Sales Price (If this is a purchase)
Down Payment: (If a purchase)
Appraised Value (If this is a Refinance)
Loan Amount
Loan Rate Desired:
*Type of Loan:
*Subject Property Address (Address, City, State, Zip Code) More Information!
*Present Address: Note: If less than two years at this address, please add previous address to comments section at end of application.
*Subject Property Number of Units:
Subject Property Year Built:

  If this loan is going to be for a refinance, answer these questions about the subject property:  
Year Acquired:
Original Cost:
Existing Liens (all mortgage loans) More Information!
Purpose of Refinance:

  For this new loan, Title will be held in whose name(s) (please list everyone to be on title)  
*List the names of everyone to be on title
*Manner in which Title will be held:
Source of Down Payment (Purchase Loans Only)

  STEP THREE: ADDITIONAL BORROWER AND CO-BORROWER INFORMATION  
BORROWER INFORMATION
Years in School:
Married, Un-Married or Seperated:
Number of Dependents:
Ages of Dependents:
Present Address: Own or Rent?
*Years at Present Address:
CO-BORROWER INFORMATION:
Years in School:
Married, Un-Married or Seperated:
Number of Dependents:
Ages of Dependents:
Present Address: Own or Rent?
Years at Present Address:

  STEP FOUR: CURRENT EMPLOYMENT INFORMATION  
BORROWER INFORMATION:
*Current Employer: Note: if less than two years at this job, add previous employment in comments section at end of application. More Information!
*Employers Street Address:
*City, State and Zip Code:
*Position or Title:
Work Phone Number:
*Time with Current Employer:
Years in this Line of Work: More Information!
Are you Self Employed:
CO-BORROWER INFORMATION:
Current Employer:
Employers Street Address:
City, State and Zip Code:
Position or Title:
Work Phone Number:
Time with Current Employer:
Years in this Line of Work: More Information!
Are you Self Employed:

  STEP FIVE: INCOME INFORMATION:  
BORROWER INFORMATION:
Monthly Base Income before taxes (Gross) More Information!
Average monthly overtime before taxes: More Information!
Average monthly bonus before taxes: More Information!
Average monthly commission before taxes: More Information!
Other Monthly Income: More Information!
Description of other monthly income:
CO-BORROWER INFORMATION:
Monthly Base Income before taxes (Gross) More Information!
Average monthly overtime before taxes: More Information!
Average monthly bonus before taxes: More Information!
Average monthly commission before taxes: More Information!
Other Monthly Income: More Information!
Description of other monthly income:

  STEP SIX: PRESENT MONTHLY HOUSING EXPENSE INFORMATION:  
Monthly Rent Amount: (If you own, skip this question) More Information!
First Mortgage (Principal & Interest)
Second Mortgage (Principal & Interest) More Information!
Homeowners Insurance:
Real Estate Taxes:
Mortgage Insurance: More Information!
Homeowners Association Dues: More Information!

  STEP SEVEN: ASSET INFORMATION (please combine assets for both borrowers)  
ASSET ONE: Asset Type:
Name of Bank:
Account Number:
*Current Dollar Value of Account:
ASSET TWO: Asset Type:
Name of Bank:
Account Number:
Current Dollar Value of Account:
Additional Asset Information:
Vested Interest in Retirement Funds: More Information!
Stocks and Bonds:
1. Name of Company (charles schwab, etrade, etc) More Information!
Dollar Value of Account:
2. Name of Company (charles schwab, etrade, etc)
Dollar Value of Account:
3. Name of Company (charles schwab, etrade, etc)
Dollar Value of Account:
Year, Make and Model of Automobile:
Cash Value of Automobile:
Year, Make and Model of Automobile:
Cash Value of Automobile:

  STEP EIGHT: LIABILITY INFORMATION  
Please only enter if you pay Alimony or Child Support. You do NOT need to enter other liabilities such as current mortgages, car payments, credit card payments, etc. These liabilities will be automatically uploaded when your credit is run).
Alimony Monthly Payment:
Months Left:
Child Support Monthly Payment:
Months Left:

  STEP NINE: REAL ESTATE OWNED: (if you currently own properties, enter here)  
Property #1: Property Address (street, city, state and zip code)
Property Type:
Property Status:
Current Market Value:
Current Balance Owed (total all mortgages):
Monthly Rental Income (if this is a rental property):
Monthly Mortgage Payment Amount:
Monthly Insurance, Taxes and HOA Fees:
Property #2: Property Address (street, city, state and zip code)
Property Type:
Property Status:
Current Market Value:
Current Balance Owed (total all mortgages):
Monthly Rental Income (if this is a rental property):
Monthly Mortgage Payment Amount:
Monthly Insurance, Taxes and HOA Fees:

  STEP TEN: BORROWER AND CO-BORROWER DECLARATIONS  
Borrower Declarations:
*Are there any judgements against you?
*Have you declared bankruptcy in the past 7 years?
*Have you had a property foreclosed upon in the last 7 years?
*Are you party to a Lawsuit?
*Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu of foreclosure of judgement?
*Are you presently delinquent on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
*Are you obligated to pay alimony, child support or seperate maintenance?
*Is or will any part of the down payment be borrowed?
*Are you a co-maker or endorser on any other persons obligations?
*Do you intend to occupy this subject property as your primary residence?
If yes, have you had an ownership interest in a property in the past 3 years?
If yes, what type of property did you own?
How is the title held on your previous property?
*What is your citizenship?
Co-Borrower Declarations:
Are there any judgements against you?
Have you declared bankruptcy in the past 7 years?
Have you had a property foreclosed upon in the last 7 years?
Are you party to a Lawsuit?
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or title in lieu of foreclosure of judgement?
Are you presently delinquent on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?
Are you obligated to pay alimony, child support or seperate maintenance?
Is or will any part of the down payment be borrowed?
Are you a co-maker or endorser on any other persons obligations?
Do you intend to occupy this subject property as your primary residence?
If yes, have you had an ownership interest in a property in the past 3 years?
If yes, what type of property did you own?
How is the title held on your previous property?
What is your citizenship?

  STEP ELEVEN: GOVERNMENT MONITORING:  
Borrower:
*Do you wish to provide this information? More Information!
What is your sex?
What is your Ethnicity?
Co-Borrower:
Do you wish to provide this information?
What is your sex?
What is your Ethnicity?

  STEP TWELVE: BORROWERS AUTHORIZATION  
Do you authorize USA Realty and Loans to pull your credit in order to pre-qualify you for a loan? Please enter either YES, NO or NOT-APPLICABLE if there is no co-borrower.
*Borrower:
*Co-Borrower: More Information!

  STEP THIRTEEN: CREDIT CARD PAYMENT INFORMATION  
Please note: In order to run credit, we will need your credit card information. It will cost $13 dollars to run a three bureau credit report on up to two people. This can be provided by either the agent or the borrower.
*Name on Credit Card:
*Street Address and City:
*Zip Code:
*Type of Credit Card: (visa, master card or american express)
*Credit Card Number:
*Expiration Date (MM/YYYY)
*Card Verification Value (Security Code) More Information!

  STEP FOURTEEN: REAL ESTATE AGENT/LOAN OFFICER INFORMATION:  
*What is the name of the USA Realty and Loans real estate agent on this transaction?:
*What is this Agent's Phone Number:
Agent Email Address:

  FINAL STEP: COMMENTS/MISCELANEOUS INFORMATION SECTION  
If this is going to be a FHA loan, please indicate here. Also, you can add any comments you have for the loan processors at USA Realty and Loans. Once you are done, please press the submit button below. Thank you!






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