Online Application Form
Please print this form - then fill it out and fax it to
us.
|
Applicant
|
Co-Applicant
|
| Applicant
Name: |
Co-Applicant
Name: |
| Applicant
Home Phone: |
Co-Applicant
Home Phone: |
| Applicant
Work Phone: |
Co-Applicant
Work Phone: |
| Applicant
E-Mail: |
Co-Applicant
E-Mail: |
Address:
City:
State:
Zip: |
|
Applicant
Employer
|
Co-Applicant
Employer
|
| Monthly
Income Amount: |
Monthly
Income Amount: |
| Position: |
Position: |
| Year
on Job: |
Year
on Job: |
| Years
in Same Field: |
Years
in Same Field: |
Loan Type (Check One)
| |
Purchase |
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Refinance |
| |
Cash
Out Refinance |
|
Construction
Loan |
| |
Construction
to Permanent Loan |
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Other |
Residence
Type (Check One)
| |
Primary
Residence |
|
Second
Home |
| |
Non-Owner
Investment |
|
|
Property
Type (Check One)
| |
Single
Family Residence |
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Condominium |
| |
Townhouse |
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Commercial-Residential |
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Commercial |
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Other |
Loan
Type (Check One)
| |
30-Year
Fixed |
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20-Year
Fixed |
| |
15-Year
Fixed |
|
Adjustable
Rate Mortgage |
|
| Estimated
Loan Amount: |
| The
Best Time To Contact Me: |
Comments:
|
|
Carolina
Capital Mortgage, Inc.
4925 Lacross Road • Suite 208 • North Charleston,
SC 29406
(843) 529-1234 • Fax: (843) 529-2961
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Intelligent
Media Ventures, LLC |
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