Answer just a few questions and take
the first step towards owning your dream home.
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
*There are no sensitive information requested such as, credit
card, social security or bank account numbers asked for this application.
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:
You may print this application and mail or fax it to
North Atlantic 1011 High Ridge Rd., Stamford, CT 06905. Fax #
203-329-8656
or click to send
Security Information:
There are no sensitive information being submitted such as, credit card, social security
or bank account numbers asked for this application.
