Investors Mortgage Loan Application for Mortgage Brokers
(386) 736-3511 Fax: (386) 736-3591
email: pat@investorsmtg.net
 
 
Date: ___/___/___
Name:______________________________
 
 
Phone Number:_______________________
 
Work Number:_______________________
 
Cell Number:_________________________
 
Fax Number:________________________
 
Email:______________________________
 
Pager Number:_______________________
 
Current Address:______________________________
 
Property Address:_____________________________
 
Circle one: Purchase, Refinance, Investment, Rental, or Owner Occupied
 
Folio Number of Property _______________________
 
Do you have a signed address: __________
 
Purchace Price: $______________
 
Amount of Repairs: $______________
 
Loan Amount: $______________
 
Property Market Value: $______________
 
**Date of Birth:______________
 
**Social Security Number:_____-______-______
 
**Previous Address:______________________________
 
**Credit Rating:______________
 
Contact Person @ Investors Mortgage: ______________________
 





We will only need to pull your credit one time. This form is authorizing us to do
so. If you have a credit report on file with is we do not need (**) information
again.


Investors Mortgage Loan Application for Mortgage Brokers
(386) 736-3511 Fax: (386) 736-3591
email: pat@investorsmtg.net

   
Property Address:______________________________
 
Expiration of Contract: __________________________
 
Buyer's Information:
 

Name:______________________________
 

Phone Number:_______________________
 

Fax number:__________________________
 

Cell Number: _________________________
 

Seller's Information:
 

Name:______________________________
 

Phone Number: _______________________
 

Real Estate Broker or Agent involved in the transaction:
 

Name:______________________________
 

Phone Number: _______________________
 

Fax Number: _______________________
 
Mortgage Broker information:
 

Name:______________________________
 

Business Name:_______________________
 
Address:____________________________
 
Additional points to charge:______________
 
 
Other Fees:
 
__________________________
 
__________________________
 
__________________________

 
$__________________________
 
$__________________________
 
$__________________________

 

 
Investors Mortgage Loan Application for Mortgage Brokers
(386) 736-3511 Fax: (386) 736-3591
email: pat@investorsmtg.net

   
We need the title company information. If you are using ine of our approved title companies the please check the the box below. we will contact you with the title company's information. If you have you own title company, complete the necessary information and fax it to us.
 
Please Note: Investors Mortgage will choose the title company, unless the seller is the bank. Any title company that is not approved by Investors Mortgage may incur additional fees.
 
 
I will be using one of your approved title companies
 
I will NOT be using one of your title companies
 
If you checked that you will NOT be using one of our title companies, please fill out the following information.
 
Title Company Information
 
Title Company:_______________________
 

Closing Agent:________________________
 

Phone Number:_______________________
 
Fax Number:_________________________
 
Address:____________________________
 
Does this title company represent the bank or the seller? circle one.   BANK     SELLER