Do you have a contract on a house?
Yes No 

If yes, you have a contract on a house:
Property Address:

Sales Price:

County:

Manufactured House?
Yes No 
If yes, it is a Manufactured House:

Name:

Phone:

If no, you do not have a contract on a house:
Do you have a purchase price you are targeting?:
Yes No 
If Yes, Sales Price $:

Are you interested in building a new house?:
Yes No 

How would you rate your credit?
Perfect-no late payments ever Not Great-lots of missed payments Very Good-a few late payments long ago Not Good-past due items or collections Good-a few late payments in the last 2 years Bad-recent bankruptcy or unpaid judgement 
Date of Discharge:

Name: *

Email: *

SS#: *

Marital Status: *
Married Unmarried Separated 
Date of Birth: *

Number of Dependants: *

Dependant's Ages:

Current Address: *

Years at this Address: *

Phone Number: *

Cell Phone Number:

Length of Employment: *

Gross Monthly Wages: *

Employer: *

Employer Phone Number: *

Position: *

Employer Address: *

If income is other than employment, what is the source of income?:

Amount Per Month $:

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Co-Borrower's info
Name:

SS#:

Marital Status:
Married Unmarried Separated 
Date of Birth:

Number of Dependants:

Dependant's Ages:

Current Address:

Years at this Address:

Phone Number:

Cell Phone Number:

Employer:

Length of Employment:

Gross Monthly Wages:

Employer Address:

Employer Phone Number:

Position:

If income is other than employment, what is the source of income?:

Amount Per Month $:

-

If Refinancing:

Balance of Current Mortgage:

Who holds your current mortgage?:

Value of your property $:

Do you want to consolidate other debts? If so, list below
Creditor:

Balance $:

Creditor:

Balance $:

Creditor:

Balance $:

Creditor:

Balance $:

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I hereby grant permission for Federation of Appalachian Housing Enterprises, Inc. (FAHE) dba JustChoice Lending and its agents to obtain any and all information deemed necessary to process my mortgage loan application, to obtain any payoffs necessary, and to make changes to the mortgagee clause in my homeowners insurance upon approval of my loan. This information includes, but is not limited to, my present employment status, my federal income tax returns, if required, my deposit account, my past and present consumer credit record, my mortgage record and/or my rental record.
 I Accept

Federation of Appalachian Housing Enterprises, Inc. (FAHE) dba JustChoice Lending and its agents, their successors and/or assigns, as their interest may appear may re-verify the information or documents used in processing this loan. I hereby authorize release of information to the lender or its designee, by my employer, bank, accountant, mortgage lender, landlord, creditors, and other sources to verify the accuracy of documents and credit information the lender used in deciding whether to approve the loan.

I also, grant permission to use a photographic copy of this form containing my signature to obtain any information regarding the items mentioned above.
 I Accept

Please note, by selecting the submit button you are acknowledging, just as if you signed a written contract, that all of the information stated in this application, to the best of your knowledge is correct. A mortgage representative will contact you to complete the process once your pre-application has been submitted.