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Please select your loan type, whether there will be a co-borrower and click the "Submit for ..." button.
 
First Name : * MI Last Name : *
Email Address: * Verify Email Address: *
Phone Number: *

Your Loan Requirements:

Purchase Loans : (Indicate where you are in the home buying process )

Made an offer and offer accepted
Made an offer or need pre-approval
Refinance Loans: (Select the purpose of your loan )
To refinance my first mortgage at the current balance
To refinance my first mortgage and take cash out of the property
To refinance my first and second mortgage (taken out AT TIME OF home purchase
To refinance my first and second mortgage (taken out AFTER home purchase)
To refinance my first mortgage and keep my existing second/home equity line open
Loan Amount                           *  
Estimated Property Value   *
Borrower Information
Primary Borrower     Co-Borrower
Click If same as above     Click if address information same as borrower
First Name : *  
Middle initial: *  
Last name: *  
Suffix:  
Home phone number : *  
Work phone number:  
Cell phone number:  
Current street address:  
Apt/Unit #:  
P.O. Box #:  
City: *  
State: *  
Zip: *  
Social security number:    *  
Social security number: (verify) *  
Birth date:    *  
Marital status:     
Citizenship/Residence Status: *  
Have you had a bankruptcy in the last 7 years? Yes No   Yes No
Have you had a foreclosure in the last 7 years? Yes No   Yes No
Borrower Employment Information      
Employer:  
Start Date Year: Month:   Year: Month:
Overtime Income:  
Commission Income:
  (Two year average) 		 
Bonus Income:
(Two year average) 		 
Base Income:
(Including retirement income,
but excluding overtime) 		*  
Information for Government Monitoring
The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the Lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. Note that you may select one or more designations for "Race." The law provides that a Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. If you do not wish to furnish this information, please indicate your preference below by selecting "No".
Do you wish to furnish basic race, ethnicity and/or gender information?

Ethnicity:

 
Race: I do not wish to provide this nformation.
American Indian/Alaskan
Asian
Black/African American
Native Hawaiian/Other Pacific Islander
White
  I do not wish to provide this information
American Indian/Alaskan
Asian
Black/African American
Native Hawaiian/Other Pacific Islander
White
Gender:
How did you find out about us?
Select primary reason:  

Each applicant specifically acknowledges and agrees that:

•  By clicking the " Submit for Approval " button you are authorizing DHI Mortgage to examine your credit report(s) in order to make a decision on your application.

•  All statements made in this application are made for the purpose of obtaining the loan indicated herein.

The original copy of this application will be retained by the Lender, even if the loan is not approved