Apply Now – Everest Mortgage

Everest Mortgage LLC

Tom Stewart
thomas@everestmortgage.com
(703) 967 3041 cell
PROFILE INFORMATION

Agent's Name and #

Have you signed a contract?YESNO

Personal Profile (2 Year History)

Borrower

Social Security #

Home Phone

Date of Birth

DependentsYESNO

list Ages

Education # of Years

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

How long have you lived at this address?

Market Value

1st Trust Balance

2nd Trust Balance

Which youOWNRENT

How much is your rent/mortgage per month:

Past Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Credit Profile & Monthly Obligations

Please estimate minimum monthly payment amounts for all credit card debt

Auto Loans and/or Lease Payments

Student Loans

Have you been bankruptYESNO

Type of BankruptcyChapter 7Chapter 13

Discharge Date

Have you had property foreclosed or reposedYESNO

If yes, date

Are you obligated to pay child support, alimony, or separate maintenance?YESNO

Monthly Obligation

Do you own any real estate other than your primary residenceYESNO

address

Purchase Date

Current market Value

Monthly Rental Income

Monthly HOA or Condo Fee

Outstanding Loan Amounts (First Trust)

Second Trust

Monthly Payments (First Trust)

Second Trust

Current Marital StatusMarriedSeparatedUnmarried

Please state number of years you have been working in your line of work/profession

Are you a U.S. CitizenYESNO

If no, please indicate residency status

Do you have a green cardYESNO

Do you have a visaYESNO

Please indicate what type of Visa you have

Government monitoring information: (Please indicate all that apply)

Please provide re: EOCA (Equal Opportunity Credit Act)

Race/National Origin:

I do not wish to furnish this informationCheck here

Borrower

Co-Borrower

SexMaleFemale

By submission of this information sheet, I (we) authorize Everest Mortgage LLC. permission to obtain a credit report for the purpose of pre-qualifying for a mortgage loan.

Email Address

Received VA disability in the pastYESNO

Entitled to receive VA disability benefits but for retirement payYESNO

Received VA disability in the past -Applicant surviving spouse of a veteran who died on active duty or as a result of a service-connected disabilityYESNO

You may need to fax the following documentation

W-2s for the past two years
Most recent paystub
Last 2 months bank, CD, and /or stock/mutual fund statements. ( All pages for all accounts.)
Most recent 401k or other retirement account. statements (All pages for all accounts.)
Bankruptcy discharge documents and schedule of discharged debts
Divorce decree and/or legal separation agreement
COE

If you are self-employed or commissioned we will also need the following information.

Last 2 business and personal tax returns
Current year-to-date profit and loss statement

THANK YOU AND I LOOK FORWARD TO WORKING FOR YOU!