*There are no sensitive information requested such as, credit card, social security or bank account numbers asked for this application.

Answer just a few questions and take the first step towards your mortgage.

You may print this application and mail or fax it to

North Atlantic Mortgage Corp.

1011 High Ridge Rd., Stamford, CT 06905.  

Fax # 203-329-8656

Details Of Transaction

Purchase Price or Value of Property Re-finance:

Loan Amount: 

Type of Loan:    Purchase Refinance
Amortization Type:   Fixed Rate Adjustable Rate    40 Year

 30 Year 15 Year Other

If Refinancing Please Answer the following:

What is your Current Rate?:
Current Monthly Payment (excluding taxes):
Annual Property Taxes:
Do you currently have Mortgage Insurance?:   Yes No
Do you have a Second Mortgage or a line of credit on the Subject Property?:

Yes No

If yes, enter outstanding balance:

Do you want to keep this loan or consolidate it with the first mortgage? Keep Consolidate

 

Borrower Information

 

Name:  
E-mail:  
Current Street Address:  
City:  
State:  
Zip Code:

Home Phone:
Work Phone:  

Name & Address of Employer:

Position: 

Years in Profession: 

Years on this Job: 

 

Monthly Income and Combined Housing Expense

 

Combined Monthly Income: 

Current Monthly Housing Expense: 

Assets and Liabilities

 

Savings

Name of Depository                                       Amount

                       

                       

                       

                       

Debts

Company Name

                       

                       

                       

                       

Do You Own Any Other Real Estate Yes No

 

Co-Borrower Information  (if Applicable)

 

Name:   
E-mail:  
Current Street Address:  
City:  
State:  
Zip Code:  

Home Phone:  
Work Phone:  

Name & Address of Employer:

Position: 

Business Phone: 

Years in Profession: 

Years on this Job: 

 

Property Information

 

Property Address:  
Property City:  
Property State:  
Property Zip Code:  
Property Type: 
Single Family Condo/Townhouse   Multiple Family Co-op
Will you occupy the property (either as vacation home or principal home)?:
Yes No

Credit Information  

 

How would you rate your Credit?  Excellent Good Fair Poor

 

Please add any comments you have below: