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The Membrane Domain

Main Street Mortgage Incorporated
3359 Durham Road
Doylestown, Bucks County, Pennsylvania 18901
Phone: 215-794-7350   Fax: 215-794-5127
email mainst@philanet.com

Home Refinance Loan Application

This section is for homeowners that wish to refinance their primary residence. A refinance can be used to improve your interest rate or terms on your current mortgage loan, or can be used to consolidate debt.

After you have completed this application, the mortgage documents will be sent to your home for your signatures. At this time we require that you pay for your credit report and home appraisal. Please note that you are entitled to copies of both.

The Federal Equal Credit Opportunity Act prohibits creditors from discrimination against applicants on the basis of race, color, religion, national origin, sex, marital status, or age.

Basic Information

BORROWER

last name
first name
middle initial
sr., jr. etc.

CO-BORROWER

last name
first name
middle initial
sr., jr. etc.
Your current address:

How long have lived at this address?

If you have lived at the above address for less than 2 years,
please enter your previous address and how low long you lived there:

BORROWER

social security number
date of birth
email address
phone number

CO-BORROWER

social security number
date of birth
email address
phone number

Subject Property Information

street address (if different than your residence)
city/town
state
zip code

Below we request your estimate of value for your home. Please keep in mind that a licensed appraiser will be comparing your home to other local, similar homes that have sold in the last 6 months. If you overestimate the value of your home, your refinance may not meet your needs and your application fee could be wasted.

estimated current value
amount you wish to borrow (mortgage amount)
annual real estate taxes
annual homeowner's insurance
monthly condo. or association fee (if applicable)

Is the property
single family duplex triplex

Is this property a
condominium townhome fee simple home

Is there a mortgage on the property now?
Yes No

What is the loan balance Current payment Current rate

Is there a second mortgage or credit line on the property now? Yes No
What is the loan balance Current payment Current rate

Assets

Your family -- please enter the ages of any dependents

Please enter the dollar value of liquid assets.

Semi-liquid assets -- stocks, bonds, cd's or other securities.

Dollar value of real estate for sale (if any)

Income

BORROWER

Primary income source

Have you received a steady income from this source for
Less than two years
More than two years

Dollar amount of your annual base income. (Please do not include any overtime, bonuses, or other income here.)

Enter the dollar amount of any other income and a brief description of where it comes from (overtime, second job, dividends, interest, social security, pension plan, etc.)

CO-BORROWER

Primary income source

Have you received a steady income from this source for
Less than two years
More than two years

Dollar amount of your annual base income. (Please do not include any overtime, bonuses, or other income here.)

Enter the dollar amount of any other income and a brief description of where it comes from (overtime, second job, dividends, interest, social security, pension plan, etc.)

Is there anything else relevant to income?

Liabilities - Borrower and Co-Borrower combined

Monthly auto payment

Monthly minimum required credit card payments (Even if you pay all credit cards in full each month, try to add together the "minimum payments" required by each company.

The balance on any mortgage to be paid-off.

The monthly payment (including taxes, insurance, mortgage insurance, association fees) on any mortgage that will not be paid-off.

Any other monthly installment debt or court ordered obligations (like personal loans, child support, etc.)

Mortgage Options

Please complete the following section to indicate your preference for your financing. Your mortgage counselor will be calling you to answer any questions and confirm your selections. At that time you will be given instructions on how to lock in on current interest rates.

How long do you think that you will own the home that you are refinancing?
0-5 years 5-10 years
10-15 years 15 or more years

What mortgage term do you prefer?
15 years 20 years 30 years

How many points are you considering?
None One Two Three

What loan program are you considering?
Fixed 1 year arm 3/1 year arm
5 or 7 year arm COFI adjustable 5 or 7 year balloon
Other

How much of a loan are you requesting?

Would you like the costs of this refinance to be financed into the loan YES NO

Completing this information does not guarantee mortgage approval. This should not be considered an extension of credit. I/We hereby authorize Main Street Mortgage to obtain a credit report in my/our names, for mortgage application purposes only. The RESPA Act prohibits lenders from distributing credit reports to any third party.

Thank you for applying for your refinance with Main Street Mortgage, Inc. Simply click on the "submit request" button below to submit your form. A loan officer will contact you soon. If you have any questions, please call us at 1-888-540-7788.

Thank you.

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Main Street Mortgage Incorporated
3359 Durham Road, Doylestown, PA 18901
Phone: 215-794-7350