eMortgageSolution.com Auction Application Form

eMortgage Solution

a powerful eMortgage Auction
designed to turn the situation around

eMortgage Auction Application
1) Complete this application;
2) Submit it; and
3) The right wholesale lenders will bid against each other for your business.

	Borrower	Coborrower
Name (first, mi, last)
Street Address
City
State
Zip

Loan Amount Desired -
Years To Pay Back (i.e. 10, 15, 20 or 30) -		CLICK HERE TO CONTINUE

click here to go back to Main page

*Gross Income means total earned before taxes or other deductions are taken out.

Borrower Coborrower

*Gross Yearly Inome for 2005

*Gross Yearly Inome for 2006

How much so far for year 2007?

Will you be proving your income?

Borrower

Coborrower

—with either W-2 forms, paystubs or tax returns?

—or will this be a "no income check" loan?

Number of years at current job

Number of years in current line of work

CLICK HERE TO CONTINUE

Provide monthly amounts for the following.
If coborrower applies, combine borrower & coborrower amounts to make one total for each box.

Current mortgage or rent (if more than one mtg., combine)

Credit card bills

Auto loans and/or leases

Other consumer debt

Any other loans

Alimony or child support

Job related expenses i.e. union dues, child care

Select one of the following to continue.

for Refinance, 2nd mortgage, or consolidation

for Purchase click here

IF THIS IS A REFINANCE , 2nd mortgage or consolidation, complete this section.
If this is a purchase go to " Purchase Information ".

REFINANCE INFORMATION

Monthly Payment

Principal Amount

Your current mortgage

2nd mortgage, if applicable

3rd mortgage, if applicable

How much are your yearly property taxes?

Are property taxes included with your mtg. payment?

What year did you acquire this property?

What was your original cost for this property?

Estimate the property value.

CLICK HERE TO CONTINUE

REFINANCE INFORMATION (continued)

	Please provide brief explanation and reason for Refinance.

CLICK HERE TO CONTINUE

IF THIS IS A PURCHASE , complete this section.
If this is a refinance, 2nd mortgage or consolidation, go to " Refinance Information ".

PURCHASE INFORMATION

Contract Price of Property being Purchased

Do you currently rent or own?

Will this be your home?

Have you signed a contract yet?

Estimate when you'd be closing, i.e. 30, 60, 90, or 120 days.

How much will you be putting down?

Please explain source of down payment. i.e. Savings, Gift, Sale of property, etc.

CLICK HERE TO CONTINUE

YOU ARE ALMOST FINISHED..... there's only one more application screen after this one... and it's a short and easy one!

Total of any unpaid liens or judgments other than mortgages on the property. If unsure, estimate or guess. Do NOT include collection accounts. Do NOT include anything already discharged via bankrupcty.

If borrower or coborrower filed a bankruptcy within the past 7 years,
please complete the following. Otherwise click on "continue" button.

	Borrower	Coborrower
Year that bankruptcy was filed
Bankruptcy chapter. i.e 7, 11 or 13. If unsure, leave blank.
Enter bankruptcy status. i.e. discharged, dismissed or still active

CLICK HERE TO CONTINUE

Final Screen for Auction Application

	Borrower	Coborrower
Home Phone
Business Phone	x	x
E-mail Address
Best Time to reach you by phone

Should our primary contact be the Borrower or CoBorrower?
If you used a search engine to find us, which one?

	Questions and Comments

CLICK THIS BUTTON TO SUBMIT YOUR APPLICATION

By clicking on this "Submit" button, you hereby authorize eMortgageSolution.com and/or it's agent to attain a consumer credit report in connection with a "permissible purpose" as defined in the Federal Fair Credit Reporting Act.

November 17, 2003 .