Coastal New England Federal Credit Union

Step 1 - General Information

Is there a Co-applicant

required

Purchase or Refinance

Purchase
Refinance

required

Do you have an accepted offer?

Subject Property

^*Address 1

Address 2

^*City:

^*State:

^*Zip:

Date Processed

Loan Amount Requested ($)

^*Property Value:

Loan Term Requested in years

Interest Rate Requested (%)

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Step 2 - Applicant Information

Primary Applicant

Last Name

First Name

Middle Initial

Social Security No (TIN)

Date of Birth

Phone Number

Cell Number

E-mail Address

If you do not have an email please put in amg@amg.com

Are you a US citizen

required

Military Service

required

Do you have any dependents

Marital Status: required

Applicant Dependents Age

Applicant Dependents Gender

Male
Female

Co Applicant

Last Name

First Name

Middle Initial

Social Security No (TIN)

Date of Birth

Phone Number

Cell Number

E-mail Address:

If you do not have an email please put in amg@amg.com

Are you a US citizen

required

Military Service

required

Do you have any dependents

Marital Status: required

Co Applicant Dependents Age

Co Applicant Dependents Gender

Male
Female

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Step 3 - Postal Information

Home Address

Primary Applicant

Do you rent or own at this time?

Rent
Own

Rent Amount

Address 1

Address 2

City

State required

Zip

Time at Current Residence in Years required If 2 years or less fill out additional residence

Additional Residences

Street Address

City

State required

Zip

Home Address

Co Applicant

Do you rent or own at this time?

Rent
Own

Rent Amount

Address 1

Address 2

City

State required

Zip

Time at Current Residence in Years required If 2 years or less fill out additional residence

Additional Residences

Street Address

City

State required

Zip

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Step 4 - Employer Information

Present Employer

Primary Applicant

Employer Name

Job Title

Phone Number

Gross Salary

Years Employed required If 2 years or less fill out past employers

Estimated Start Date

Past Employers

Employer Name

Job title

Phone

Years Employed required

Estimated Start Date

Gross Salary

Income derived from alimony, child support, or separate maintenance payments need not be revealed if you do not want the creditor to consider the information in determining your creditworthiness.

Other Income ($):

Income Source:

How long

Currently Working

Start Date:

End Date:

Other-List Source:

Do you pay Child Support or Alimony:

required

($) per month:

Present Employer

Co Applicant

Employer Name

Job Title

Phone Number

Gross Salary

Years Employed required If 2 years or less fill out past employers

Estimated Start Date

Past Employers

Employer Name

Job title

Phone

Years Employed required

Estimated Start Date

Gross Salary

Income derived from alimony, child support, or separate maintenance payments need not be revealed if you do not want the creditor to consider the information in determining the your creditworthiness

Other Income ($)

Income Source:

How long

Currently Working

Start Date:

End Date:

Other-List Source:

Do you pay Child Support or Alimony:

required

($) per month:

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Step 5 - Credit And Asset Information

Liquid Assets (Cash, Savings, etc.) $

Stocks, Bonds, Mutual Funds, etc. $

Home Value (Real Estate, Personal Property) $

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Step 6 - Demographic Information of Borrower

The purpose of collecting this information is to help ensure that all the applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race". The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

Borrower:

Ethnicity:

Hispanic or Latino

Mexican
Puerto Rican
Cuban

Other Hispanic or Latino - Print origin:

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

Not Hispanic or Latino
I do not wish to provide this information

Sex

Female
Male
I do not wish to provide this information

Race:

American Indian or Alaska Native - Print name of enrolled or principal tribe:

Asian

Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese

Other Asian - Print Race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

Black or African American
Native Hawaiian or other Pacific Islander

Native Hawaiian
Guamanian or Chamorro
Samoan

Other Pacific Islander - Print race:

For example: Fijian, Tongan, and so on.

White
I do not wish to provide this information

Authority: required

Please Select Authority.

Give the authority to the credit union or its processing and whole sale partner Allanach Mortgage Group Corporation,NMLS# 2894 to access my/our credit. By accessing this credit we can make a more complete diagnosis of you credit qualification.

Co Borrower:

Ethnicity:

Hispanic or Latino

Mexican
Puerto Rican
Cuban

Other Hispanic or Latino - Print origin:

For example: Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.

Not Hispanic or Latino
I do not wish to provide this information

Sex

Female
Male
I do not wish to provide this information

Race:

American Indian or Alaska Native - Print name of enrolled or principal tribe:

Asian

Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese

Other Asian - Print Race:

For example: Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.

Black or African American
Native Hawaiian or other Pacific Islander

Native Hawaiian
Guamanian or Chamorro
Samoan

Other Pacific Islander - Print race:

For example: Fijian, Tongan, and so on.

White
I do not wish to provide this information

Comments:

Authority: required

Please Select Authority.

Authority: required

Please Select Authority.

I agree to Allanach Privacy Policy and Security Policy required

Please agree to Allanach Privacy Policy. Please agree to Security Policy.

If you have frozen your credit with EFX, EXP, and TU please unfreeze.

Mortgage Rates

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Note: "After 2:00 pm your mortgage request is considered received on the next business day.
For Saturday and Sunday the request is considered received Monday unless Holiday".

Mortgage Application In partnership with your credit union

Mortgage Work Sheet

Subject Property

Primary Applicant

Co Applicant

Home Address

Primary Applicant

Additional Residences

Home Address

Co Applicant

Additional Residences

Present Employer

Primary Applicant

Past Employers

How long

Present Employer

Co Applicant

Past Employers

How long

Borrower:

Co Borrower:

Security Policy