Home Loan Application - First Basin Credit Union

Property Information & Type of Loan

Type of Loan:

Property Use:

Term Requested:

Property Address:

Loan Amount Requested:

Down Payment Amount or %:

Borrower Information

Borrower

First Name:

Middle Initial:

Last Name:

Date of Birth:

Social Security Number:

Primary Phone:

Secondary Phone:

Address:

City:

State:

Zip Code:

Marital Status:

Own or Rent:

Email Address:

Confirm Email:

Current Monthly Mortgage or Rent Payment:

Please check below if you are a current member of First Basin Credit Union.

I'm a member!

Is There a Co-Borrower?

Yes

No

Co-Borrower

First Name:

Middle Initial:

Last Name:

Date of Birth:

Social Security Number:

Primary Phone:

Secondary Phone:

Address:

City:

State:

Zip Code:

Marital Status:

Own or Rent:

Please check below if co-borrower is a current member of First Basin Credit Union.

YES - they are a member!

Employment Information

Borrower

Current Employer:

Phone Number:

Job Title:

Gross Monthly Income:

Promo Code

Please provide us with your promotional code – if applicable:

Authorization

By submitting a home loan application, you give First Basin Credit Union authorization to obtain your credit report. The authorization is valid for verifying qualification and to assess applicable interest rates.

Please expect a call from the FBCU Lending team to discuss and complete your application.

Date:

12/21/2024

eSignature:

Preliminary Home Loan Application

Borrower

Co-Borrower

Borrower

Co-Borrower

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