Lending Application

Primary Applicant - Personal Information

How did you learn about CEE *

Required

First Name*

Required

Middle Name

Required

Last Name*

Required

Marital Status*

Required

Social Security Number*

Required - Please use the format "###-##-####"

Date of Birth*

Required

Household Size*

Required Number

# of Dependents*

Required Number

Cell Phone*

Required - Please use the format "###-###-####"

Home Phone

Please use the format "###-###-####"

Email*

Required

Are you applying individually or jointly? *

Required

Co-Applicant - Personal Information

First Name*

Required

Middle Name

Required

Last Name*

Required

Marital Status*

Required

Social Security Number*

Required - Please use the format "###-##-####"

Date of Birth*

Required

Cell Phone*

Required - Please use the format "###-##-####"

Home Phone

Please use the format "###-##-####"

Email*

Required

Subject Property Address

Address*

Required

City*

Required

State*

Required

Zip Code*

Required

Neighborhood

Required

County*

Required

Number of dwelling units*

Required Number

Year Built*

Required

Purchase Price*

.00

Required - Please only enter numbers without decimals

Purchase Date*

Required

Improvement Type or Purpose*

Required

Additional Improvement Type or Purpose

Required

Electric Company Name*

Required

Gas Company Name*

Required

Is your current address different than the subject address?

Required

Current Address

Address*

Required

City*

Required

State*

Required

Zip Code*

Required

Have you lived at your current address less than 2 years? If so, prior address is required.

Required

Prior Address

Address*

Required

City*

Required

State*

Required

Zip Code*

Required

Have you lived at your current and prior address less than 2 years? If so, second prior address is required.

Required

Second Prior Address

Address*

Required

City*

Required

State*

Required

Zip Code*

Required

Is your mailing address different than the subject address?

Required

Mailing Address

Address*

Required

City*

Required

State*

Required

Zip Code*

Required

Primary Applicant - Current Employer

Employment Status*

Required

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Years at this job*

Required

Years in this profession*

Required

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Primary Applicant - Current Second Employer

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Primary Applicant - Former Employer

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Primary Applicant - Monthly Income

Base Income

.00

Please only enter numbers without decimals

Overtime

.00

Please only enter numbers without decimals

Bonuses

.00

Please only enter numbers without decimals

Commissions

.00

Please only enter numbers without decimals

Dividends or Interest

.00

Please only enter numbers without decimals

Social Security

.00

Please only enter numbers without decimals

Net Rental

.00

Please only enter numbers without decimals

Self Employment

.00

Please only enter numbers without decimals

Other

.00

Please only enter numbers without decimals

Co-Applicant - Employer

Employment Status*

Required

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Years at this job*

Required

Years in this profession*

Required

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Co-Applicant - Second Employer

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Co-Applicant - Former Employer

Company Name*

Required

Title*

Required

Address*

Required

City*

Required

State*

Required

Zip Code*

Required - Please use the format "#####"

Phone*

Required - Please use the format "###-###-####"

Are you self employed?

Required

Co-Applicant - Monthly Income

Base Income

.00

Please only enter numbers without decimals

Overtime

.00

Please only enter numbers without decimals

Bonuses

.00

Please only enter numbers without decimals

Commissions

.00

Please only enter numbers without decimals

Dividends or Interest

.00

Please only enter numbers without decimals

Social Security

.00

Please only enter numbers without decimals

Net Rental

.00

Please only enter numbers without decimals

Self Employment

.00

Please only enter numbers without decimals

Other

.00

Please only enter numbers without decimals

Expenses

First Mortgage To Whom Indebted

Required

First Mortgage Monthly Payment

.00

Please only enter numbers without decimals

First Mortgage Outstanding Balance

.00

Please only enter numbers without decimals

Are real estate taxes and homeowner's/flood insurance included in mortgage payment?

Yes

Required

Second Mortgage To Whom Indebted

Required

Second Mortgage Monthly Payment

.00

Please only enter numbers without decimals

Second Mortgage Outstanding Balance

.00

Please only enter numbers without decimals

Total Real Estate Taxes per Year if not escrowed

.00

Please only enter numbers without decimals

Total Homeowner Insurance per Year if not escrowed

.00

Please only enter numbers without decimals

Monthly Homeowner Association Dues

.00

Please only enter numbers without decimals

Other Debt To Whom Indebted

Required

Other Debt Monthly Payment

.00

Please only enter numbers without decimals

Other Debt Outstanding Balance

.00

Please only enter numbers without decimals

Additional Other Debt To Whom Indebted

Required

Additional Other Debt Monthly Payment

.00

Please only enter numbers without decimals

Additional Other Debt Outstanding Balance

.00

Please only enter numbers without decimals

Third Other Debt To Whom Indebted

Required

Third Other Debt Monthly Payment

.00

Please only enter numbers without decimals

Third Other Debt Outstanding Balance

.00

Please only enter numbers without decimals

Fourth Debt To Whom Indebted

Required

Fourth Debt Monthly Payment

.00

Please only enter numbers without decimals

Fourth Debt Outstanding Balance

.00

Please only enter numbers without decimals

Primary Applicant Declarations

Are there any outstanding judgments or liens against you?

Required

Have you declared bankruptcy within the last 36 months?

Required

Have you had any property foreclosed upon or given title or deed in lieu thereof in the past 36 months?

Required

Are you a co maker or endorser of a note that is not included in the above listed debts?

Required

Are you obligated to pay alimony or child support or maintenance?

Required

Do you intend to occupy this property as your primary residence?

Required

Are you a permanent resident alien?

Required

Are you a US citizen?

Required

Co-Applicant Declarations

Are there any outstanding judgments or liens against you?

Required

Have you declared bankruptcy within the last 36 months?

Required

Have you had any property foreclosed upon or given title or deed in lieu thereof in the past 36 months?

Required

Are you a co maker or endorser of a note that is not included in the above listed debts?

Required

Are you obligated to pay alimony or child support or maintenance?

Required

Do you intend to occupy this property as your primary residence?

Required

Are you a permanent resident alien?

Required

Are you a US citizen?

Required

Primary Applicant Information for Government Monitoring Purposes

Ethnicity*

Required

Race*

Required

Sex*

Required

Co-Applicant Information for Government Monitoring Purposes

Ethnicity*

Required

Race*

Required

Sex*

Required

Acknowledgement and Agreement

"Acknowledgement and Agreement"

By signing below, I agree to, acknowledge, and represent the following statements listed in the "Acknowledgement and Agreement".

Primary Applicant Signature (type your name)*

Required

Primary Applicant Date Signed*

Required

Co-Applicant Signature (type your name)*

Required

Co-Applicant Date Signed*

Required