Loan Application

You can fill out a 1003 or you can:

Print, Complete, and Fax this to us at Fax: (407) 386-6330

Business Property Address_________________________Estimated Value__________________
Borrower (First)______________________ (Last)_______________________ (MI)___ JR__ SR
Address____________________________ City________________ State_________ Zip_______
Presently Own____ Rent____ How Long________ Monthly Payment Amount_______________
Home #________________________ Work #____________________ Cell #_________________
Cash On Hand_____________ Source of Down Payment______________ # of Dependents______
Have You Had A Bankruptcy, Repossession, or Foreclosure in the past 3 Years_________________
________________________________________________________________________________
Co-Borrower (First)____________________ (Last)_______________________ (MI)___ JR__ SR
Address____________________________ City________________ State_________ Zip________
Presently Own____ Rent____ How Long________ Monthly Payment Amount________________
Home #________________________ Work #____________________ Cell #_________________
Cash On Hand_____________ Source of Down Payment______________ # of Dependents______
Have You Had A Bankruptcy, Repossession, or Foreclosure in the past 3 Years_________________

To determine which program you would best qualify for, the loan officer will request and review your
credit report. The following information and authorizations are required:

Borrower Age:__________ DOB:________ Co-Borrower Age:__________ DOB:_______
Borrower S.S.#________________________ Co-Borrower S.S.#______________________
Verbal Permission Granted to Pull Credit___ Verbal Permission Granted to Pull Credit____

Borrower Info: Co-Borrower Info:
Occupation_________________ How Long____ Occupation_________________ How Long____
Self Employed? Yes_____ No____ Self Employed? Yes_____ No____
Name of Employer________________________ Name of Employer______________________
How Long With Current Employer__________ How Long With Current Employer__________
How long With Previous Employer___________ How long With Previous Employer___________
Your Gross Monthly Income? ______ Hrly____ Your Gross Monthly Income? ______ Hrly____
Any Additional Income? Monthly Amount_____ Any Additional Income? Monthly Amount_____
Source: Alimony__ Child Support___ Other__ Source: Alimony__ Child Support___ Other___
Are You: Married__ Unmarried__ Separated__ Are You: Married__ Unmarried__ Separated__

Robert Loos Mortgage

Commercial Loans