Please fill in all required fields*.
Borrower Name:*
Birthdate:*
Citizenship:*
Present Address:*
City:*
State:*
Zip:* Years@Address:
Phone:*
Email Address:*
Social Security Number:*
   
 
Marital Status:*
Employer:*
Position:*
Years:*
Address:*
State:*
Zip:*
Monthly Gross:*
Phone:*
Co-Borrower Name:
Birthdate:
 
 
Citizenship:
Social Security Number:
If address different than borrower, please provide below.
Address:
City:
State:
Zip:
Co-Borrower Employer:
Position:
Years:
Address:
 
 
State:
Zip:
Monthly Gross:
Phone:
 
Checking/Savings Balance:*
Stock/Mutual Fund Balances:*
401k/Retirement Balances:*
Estimated Down Payment:*
Do you currently:*
Monthly Payment:*
Monthly HOA's/Insurance:*
 
 
Other Real Estate Owned:
Other Real Estate Owned:
Other Real Estate Owned:
Types of mortages in which you are interested in:
Fixed Rate Adjustable
30-Year 15-Year
80/20 Other
Ask us About our Extended Rate-Lock Program
By checking this box, you certify that the information noted above is true and correct. Applicants hereby expressly grant permission to Green Leaf Capital to verify credit information and employment history and that a copy of this application may be used in lieu of original signatures.