Quick Application

Get started in the loan process by completing our short loan application.

Personal Information

First Name:*

Middle Name:

Last Name:*

Email:*

Referral Name:

Home Phone: () -

Cell Phone: () -

Work Phone: () - Ext.

Marital Status: Married Unmarried Separated

Are you US Citizen?: Yes No

Date of Birth: (mm/dd/yyyy)

Social Security or Tax ID #:* - -

Credit Check Authorization:* I agree I do not agree

Number of Dependents:

Dependent Age(s): (Separate ages by commas)

Current Address

Street Address:*

City:*

State:* Arizona California Colorado Florida Texas

Zip:*

Years at this Address:*

Rent vs Own:* Rent Own

Previous Address

Street Address:

City:

State: Arizona California Colorado Florida Texas

Zip:

Years at this Address:

Rent vs Own: Rent Own

Subject Property

Purpose of Loan: Purchase Construction - Perm Construction No Cash-Out Refi Cash-Out Refi Other

Property Usage: Primary Residence Second Home Investment

Loan Amount: $

Purchase Price: $

Number of Units:

City:

State: Arizona California Colorado Florida Texas (We service list)

Employment

Self Employed: Yes NO

Employer Address:

Employer:

Phone:

Position:

Years on Job:

Years in Field:

Monthly Income

Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.

Base Income: $

Bonuses: $

Commission: $

Retirement Pension: $

Social Security/Disability: $

Other Income: $

Assets

Checking: $

Savings: $

Retirement Funds: $

Mutual Funds: $

Other: $

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lenders compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.

Option: I do not wish to furnish this information

Sex: Male Female

Ethnicity: Hispanic or Latino Not Hispanic or Latino

Race: American Indian or Alaska Native

Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Privacy Policy:* We take our clients financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency. We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law. I hereby authorize Globe Mortgage, Inc. to obtain a consumer credit report for the purpose of applying for a home loan. Upon request, Globe Mortgage, Inc. will provide me with the name and address of the Consumer Reporting Agency contacted to supply the report.

I accept the terms of the privacy policy

Co-Borrower

Do you have a co-borrower?: Yes No

Personal Information

First Name:*

Middle Name:

Last Name:*

Email:*

Referral Name:

Home Phone: () -

Cell Phone: () -

Work Phone: () - Ext.

Marital Status: Married Unmarried Separated

Are you US Citizen?: Yes No

Date of Birth: (mm/dd/yyyy)

Social Security or Tax ID #:* - -

Credit Check Authorization:* I agree I do not agree

Number of Dependents:

Dependent Age(s): (Separate ages by commas)

Current Address

Street Address:*

City:*

State:* Arizona California Colorado Florida Texas

Zip:*

Years at this Address:*

Rent vs Own:* Rent Own

Previous Address

Street Address:

City:

State: Arizona California Colorado Florida Texas

Zip:

Years at this Address:

Rent vs Own: Rent Own

Subject Property

Purpose of Loan: Purchase Construction - Perm Construction No Cash-Out Refi Cash-Out Refi Other

Property Usage: Primary Residence Second Home Investment

Loan Amount: $

Purchase Price: $

Number of Units:

City:

State: Arizona California Colorado Florida Texas (We service list)

Employment

Self Employed: Yes NO

Employer Address:

Employer:

Phone:

Position:

Years on Job:

Years in Field:

Monthly Income

Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.

Base Income: $

Bonuses: $

Commission: $

Retirement Pension: $

Social Security/Disability: $

Other Income: $

Assets

Checking: $

Savings: $

Retirement Funds: $

Mutual Funds: $

Other: $

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lenders compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.

Option: I do not wish to furnish this information

Sex: Male Female

Ethnicity: Hispanic or Latino Not Hispanic or Latino

Race: American Indian or Alaska Native

Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Privacy Policy:* We take our clients financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency. We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law. I hereby authorize Globe Mortgage, Inc. to obtain a consumer credit report for the purpose of applying for a home loan. Upon request, Globe Mortgage, Inc. will provide me with the name and address of the Consumer Reporting Agency contacted to supply the report.

I accept the terms of the privacy policy