Home Loans

Loan Information

* Required Fields

Type of loan Needed **Please Select** Home Purchase 1st/2nd Mortgage Refinancing Home Improvement Debt Consolidation Other

If Other, please explain

How are you submitting this loan? (Please Select) Individually Jointly

Total Loan Amount

Applicant Information

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Marital Status (Please Select) Married Unmarried Separated

Home Phone

Email

Best time to contact you? (Please Select) Morning Evening Afternoon

Are you a current Customer with us? (Please Select) Yes No

If no, how did you hear of/about us? (Please Select) Internet/Web Newspaper Friend/Relative Yellow Pages Radio Other

If Other, please explain

Current Home Address

Home Address

City

State

Zip

Time at Residence

Years at Residence

Months at Residence

If you have lived at your current address less than 2 years, please provide the following:

Previous Home Address

Previous City

Previous State

Previous Zip

Employment Information

Current Employer Name

Work Phone

Job Title

Annual Net Income

Length of Employment

Years of Employment

Months of Employment

If employed with current employer less than 2 years, please provide the following:

Previous Employer Name

Previous Work Phone

Previous Job Title

Previous Length of Employment

Years at Previous Employment

Months at Previous Employment

Co-Applicant Information

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Employment Information

Current Employer Name

Work Phone

Job Title

Annual Net Income

Co-Applicant Length of Employment

Years of Employment

Months of Employment

If employed with current employer less than 2 years, please provide the following:

Previous Job Title

Co-Applicant Previous Length of Employment

Years at Previous Employment

Months at Previous Employment

Current Housing Information

Do you currently own or rent your home? (Please Select) Own Rent

Monthly Mortgage/Rent

Home Purchase Information

Home Address

City

State

Zip

County

Asking Price

Down Payment

Mortgage Refinance Information

Do you currently have any home equity loans? (Please Select) Yes No

If yes, what is the balance

Estimated Property Value

Amount Applying For

Other Information

Have you ever filed for Bankruptcy? (Please Select) Yes No If yes, what is the year of discharge? Additional Comments

Terms & Conditions

Please review and verify that the above information is correct.

You may change any of the fields above BEFORE clicking the submit button at the bottom of the page.

All the information I have provided in this application is true and complete. I authorize Community First Bank to check my credit and employment history. I authorize Community First Bank to contact me regarding my application. I understand that by filling out this form, I am not guaranteed financing with Community First Bank. I understand Community First Bank may retain the information contained in this application whether or not I am qualified for a loan.

When you have completed the form above, you may print this application and mail / bring the printed copy to our office, OR Submit the application via the Internet.

By clicking on the button marked "Submit", I have agreed to the above terms and conditions.