ONLINE APPLICATION

PART I


Our online application is a quick and easy way for you to apply for a mortgage.  

Part I contains all non-sensitive information.  After Part I is completed, the data will be saved and you will be sent to Part II.  Part II is a secure form that will collect your sensitive information.

We also have a paper version of the form that you can fill out and fax to us.  
Click here
to download the Adobe Acrobat version.
Click here to download Adobe Acrobat Reader.

* If you accidentally hit the backspace key and exit the application, hit the forward button in your browser to return to the application. *


TYPE OF MORTGAGE AND TERMS OF LOAN

 
*E-mail Address: (Required field)

Loan, Tax & Insurance Information
Current Market Value:
(Purchase Price if New)
$
Interest Rate: 
Loan Amount:
$

Annual Real Estate Taxes:

$
Loan Term:
 

Amortization Type: (choose one)

Fixed Rate

ARM

 

PROPERTY INFORMATION AND PURPOSE OF LOAN

Subject Property Address:
Street:
City, State, Zip: 

Property Type: (choose one)

Single Family

Multi Family

Condo

Co-Op

Purpose of Loan:  (Choose one) Refinance Purchase

BORROWER INFORMATION 

Enter Borrower's Name Below (include Jr. or Sr. if applicable)
First Name:
Mi.:

Last Name:

Home Phone:

Date of Birth:

Cell Phone:  
Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

If Borrower address is the same as Subject Property address, check the box:
Present Address:
Street:
Own:  Rent: 
City, State, Zip: 
Number of years at present address:

If Borrower present address is less than 2 years, please enter past address below:
Past Address:
Street:
Own:  Rent: 
City, State, Zip: 
Number of years at this address:

 

CO-BORROWER INFORMATION 

 If Co-Borrower information is the same as Borrower, check the box:
Enter Co-Borrower's Name Below (include Jr. or Sr. if applicable)
First Name:
Mi.:

Last Name:

Home Phone: Date of Birth:
Cell Phone:  
Marital Status: Married Separated Unmarried (includes single, divorced, widowed)

Present Address:
Street:
Own:  Rent: 
City, State, Zip: 
Number of years at present address:

If Co-Borrower present address is less than 2 years, please enter past address below:
Past Address:
Street:
Own:  Rent: 
City, State, Zip: 
Number of years at this address:

 

EMPLOYMENT INFORMATION
 
 
  Borrower Co-Borrower
Employer Name: 
Street Address: 
City, State, Zip: 
Work Phone: 
Position/title: 
Business Type: 
Self Employed?: 
Yes:  No:  Yes:   No:
Years on Job: 
Yrs. in profession: 
 
If Borrower or Co-Borrower years on job is less than two, please enter past employment information below:
  Borrower Co-Borrower
Employer Name: 
Street Address: 
City, State, Zip: 
Work Phone: 
Position/title: 
Business Type: 
Self Employed?: 
Yes:  No:  Yes:     No:
Years on Job: 
Yrs. in profession: 


GROSS MONTHLY INCOME

Below, enter your income in the Borrower and Co-Borrower fields only without the "$".  The form will automatically total your entries in the red fields for you. 
Gross Monthly Income
Borrower
Co-Borrower
Base Employment Income: 
$
$
Pension Income: 
$
$
Social Security Income: 
$
$
Rental Income: 
$
$
Alimony:
$
$
Child Support: 
$
$
Other Income: 
$
$
Total:
$
$

COMBINED MONTHLY HOUSING EXPENSE

Combined Monthly Housing Expense
Present
Rent Payment: 
$
First Mortgage Payment: 
$
Second Mortgage Payment: 
$
Home Equity Loan/Line Payment: 
$
Maintenance Payment: 
$
Car Loan / Lease Payment: 
$
Minimum Credit Card Payments:
$
Student Loan Payment: 
$
Boat/Motorcycle/RV Payment:

$

Total: 
$



SCHEDULE OF REAL ESTATE OWNED

 

Do You Own Any Other Real Estate: 

Yes:    No:

  

INFORMATION ABOUT YOUR LIABILITIES

Other Liabilities:
Monthly Payment:
Alimony/Child Support/Separate Maintenance:

    

 

Garden City Mortgage is a registered New York State Mortgage Broker.  All loans are arranged with third party lenders.

Website Design (c) 2007
Andrew Ellis
webmaster@gardencitymortgage.com