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All fields with an * must be complted. A represented from hillcountryloans.com will contact you once your application has been recieved.

Basic Information
First Name:*
Middle Name:*
Last Name:*
Email Address:*
Phone Day:*
Phone Evening:*
Marital Status:*
Residential Status:*
Date of Birth:* / /
SSN:*


Dependants
Number:
Ages: (seperated by comma)


Present Address
Street:*
City:*
State:* Zip:*
Ownership:* Years:*


Former Address (*needed if residing in current address less than 2 years)
Street:
City:
State: Zip:
Ownership: Years:


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. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname.
I do not wish to furnish this information:
Ethnicity:
Race:
Sex:


Monthly Income
Base: $
Bonus: $
Commision: $
Other: $


Assets
Savings: $
Checking: $
401k: $
Other: $


A bit about the subject property
Property Usage:
Purpose of Refinance:
Loan Amount:$
Property Value:$
Number of Units:
Year Built:


Address of Subject Property
Street:
City:
State: Zip:



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Advantage Mortgage | 9430 Research Blvd.Echelon IV Suite. 110 Austin, TX 78759