Full Application
NLC provides fast mortgage approvals with our secured online application.
Please fill out as many fields as possible and the information will be sent to your loan officer. Fields with * are required.
REFERRAL_ID:
Borrower Information
First Name*
M.
Last Name*
Social Security*
DOB*
Age*
Home Phone*
Work Phone*
Email Address
Address*
City*
State*
Zip*
Self Employed*
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
ON
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
No
Yes
Employer*
Employer Address*
Position*
Yrs on Job*
Previous Employer
Previous Employer Address
Previous Yrs on Job
Gross Monthly Income*
Bank Name*
Account Balance*
Bank Name #2
Account Balance #2
$
$
Co-Borrower Information
First Name
M.
Last Name
Social Security
DOB
Age
Employer
Employer Address
Position
Yrs on Job
Gross Monthly Income
Mortgage Information
Purpose of Loan*
Loan Program
Loan Amount*
Select One
Construct Home
Rate/Term - Refinance
Cash Out - Refinance
Home Improvement
Debt Consolidation
Change Loan Type-Refi
Const. to Perm.
Purchase
Other
Full Doc
Stated Income
No Ratio
No Doc
$
Desired Loan Terms*
Market Value*
Mortgage Balance*
30 Year Conventional
15 Year Conventional
10 Year Conventional
30 Year FHA Fixed
30 Year VA Loan
1 Year Arm
3/1 Year Arm
5/1 Year Arm
5 Year Balloon
7 Year Balloon
FHA Arm
Other Loan
$
$
Number of Units*
Present Rate*
Monthly Mortgage Payment*
1
2
3
4
5.125
5.250
5.375
5.500
5.625
5.750
5.875
6.000
6.125
6.250
6.375
6.500
6.625
6.750
6.875
7.000
7.125
7.250
7.375
7.500
7.625
7.750
7.875
8.000
8.125
8.250
8.375
8.500
8.625
8.750
8.875
9.000
9.125
9.250
9.375
9.500
9.625
9.750
9.875
10.000
10.125
10.250
10.375
10.500
10.625
10.750
10.875
11.000
11.125
11.250
11.375
11.500
11.625
11.750
11.875
12.000
$
Annual Real Estate Taxes*
Annual Insurance*
$
$
Property Information
Property Will Be
Purchase Price*
Appraisal Value
Primary Residence
Secondary Residence
Investment
$
$
Total Down Payment*
Source of Down Payment
Estimated Closing Time
Select One
Checking/Savings
Deposit on Sales Contract
Equity on Sold Property
Equity from Pending Sale
Equity from Subject Property
Cash-Gift
Stocks and Bonds
Lot Equity
Financing Secured Property
Cash Borrowed
Trust Funds
Retirement Funds
Rent with Option to Purchase
Life Insurance Cash Value
Sale of Chattel
Trade Equity
Sweat Equity
Cash on Hand
Other Type of Payment
Secured Borrowed Funds
Immediately
Within 1 month
Within 2 months
More than 3 months
Address*
City*
State*
Zip*
AB
AK
AL
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
ON
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY