Alabama Home Mortgage Lending, Inc.

Loan Application

Thank you for visiting the Alabama Home Mortgage Lending, Inc. web site! Please use this form to submit your loan application electronically or you may contact one of our professional mortgage specialists at (205) 933-1800.

Where did you initially hear about us?
Required:
Last Name:
First:
DOB:		SS #:
Co borrower Last Name:
First:	<
DOB		SS #:
Address:
City:		State/Prov:
County		Zip/Post. code
How can we contact you?
Phone Number::
Email address:

Employment Information:
Employer:		Position:
# of Years:		Gross Pay:
CO App Employer:		Position:
# of Years:		Gross Pay:

Loan Details
I would like to	Purchase		Refinance
Loan Amount Requesting:		Maximum mortgage payment desired:

The loan program I'm interested in is:
Loan purpose:
For Purchases: Have you found a house yet?
Are you obligated to pay alimony, child support, or separate maintenance?	Amount?

Property Information (note: this information is required if Refinancing a home.)
Address:
City, State, Zip:
Purchased Price:		Date of Purchase:
Current Value:		Payment
Mortgage Balance		Interest rate
Type of home:

Assets	Borrower	Co-Borrower
Savings, Money Mkt., Stocks
Retirement, 401K
Gift Funds Available
Bank Name
Bank Balance

Liabilities:
1st Mortgage Lender

Date Opened	Payment $
Current Rate:	Balance

2nd Mortgage Lender

Date Opened:	Payment $
Current Rate:	Balance

If you spoke with a service representative, please give their name here. Also please give any comments or other information we may need to know:

	To contact us: Call (205) 933-1800 or Email: info@alabamahomemtg.com
"I authorize Alabama Home Mortgage Lending, Inc. and/or assigns to obtain my/our credit report for the purpose of determining credit worthiness. The information that is obtained is strictly confidential. By submitting this electronically, this is to be deemed to be the equivalent of the original."