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CHILTON M. AMES
MORTGAGE LOAN OFFICER
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Home
Rate Quote
Contact
APPLY NOW
CHILTON M. AMES
MORTGAGE LOAN OFFICER
Home
Rate Quote
Contact
Apply Now
Home
Rate Quote
Contact
Apply Now
MORTGAGE APPLICATION
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Please enable JavaScript in your browser to complete this form.
Purpose of Loan
*
Select One
Purchase
Refinance
Construction
Property Type
*
Select One
Single Family
Condo
2-4 Family
Other
To Be Determined
Property Use
*
Select One
Primary Residence
Second Home
Investment
Property Value
*
Escrow Preferences
Select One
Taxes
Insurance
Both
None
Title Preferences
Select One
Single
Joint
Trust
Not Sure
Will gift funds be used?
Yes
No
Maybe
Name of Gifter
Approx. Gift Amount
Full Legal Name
*
First
Middle
Last
Email
*
Cell Phone
*
Work Phone
Date of Birth
*
MM
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YYYY
2027
2026
2025
2024
2023
2022
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2020
2019
2018
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2015
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1924
1923
1922
1921
1920
Social Security #
*
Marital Status
*
Select One
Married
Unmarried
Separated
Schooling
*
Select One
12 - High School
16 - College
18 - Masters
18+
US Citizen?
*
Yes
No
Are you a permanent resident alien?
Yes
No
Dependants?
*
Yes
No
How many dependants?
Ages of dependants?
(Format: 2, 7, 13)
Current Residence Type
*
Select One
Own
Rent
Other
Current Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How long at this property?
*
Select One
Less than 1 year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
10+ Years
20+ Years
Is purchase contingent on sale of current residence?
*
Yes
No
Maybe
Do you own any other Real Estate?
*
Yes
No
Address of other Real Estate
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Purchase price of other Real Estate
Approx. value of other Real Estate
Previous Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Move-In Date of Previous Address
Move-Out Date of Previous Address
Date Purchased
Original Cost
Yearly Taxes
Yearly Insurance
Insurance Company / Agency
Insurance Policy Number
Do you have a home equity line or 2nd mortgage?
*
Yes
No
Do you own any other properties?
*
Yes
No
Do you plan to make any changes to the Title?
Yes
No
Escrow Preferences
Select One
Taxes
Insurance
Both
None
Employer's Name
*
Employer's Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Title/Position
*
Base Salary
*
Bonus/Commission Income
Yes
No
YTD Bonus
Total Bonus - last year
Total Bonus - 2 years ago
Time at Job
*
Select One
Less than 1 year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
10+ Years
20+ Years
Previous Employer's Name
Previous Employer's Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Title/Position of Previous Job
Start Date of Previous Job
End Date of Previous Job
Time in Field
Select One
Less than 1 year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
10+ Years
20+ Years
30+ Years
If self employed, how long?
Select One
Less than 1 year
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
10+ Years
20+ Years
30+ Years
Will there be a Co-Borrower?
*
Yes
No
Co-Borrower's - Full Legal Name
First
Middle
Last
Co-Borrower's - Email
Co-Borrower's - Date of Birth
Co-Borrower's - Social Security #
Co-Borrower's - Marital Status
Select One
Married
Unmarried
Separated
Is the Co-Borrower a US citizen?
Yes
No
Is the Co-Borrower a permanent resident alien?
Yes
No
Co-Borrower's - Schooling
Select One
12 - High School
16 - College
18 - Masters
18+
Will his/her income be used to qualify?
Yes
No
Does Co-Borrower have Dependents?
Yes
No
How many Dependants does Co-Borrower have?
Ages of Co-Borrower's dependants?
(Format: 2, 7, 13)
Co-Borrower's - Employer's Name
Co-Borrower's - Employer's Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Co-Borrower's - Title/Position
Co-Borrower's - Base Salary
Co-Borrower's - Time at job
Co-Borrower's - Years in field
If Co-Borrower is self employed, how long?
Co-Borrower's - Bonus/Commission Income
Yes
No
Co-Borrower's - YTD Bonus
Co-Borrower's - Total Bonus - last year
Co-Borrower's - Total Bonus - 2 years ago
Assets
Only fill out the ones that apply to you.
Checking
Approx. Balance
Savings
Approx. Balance
Money Market/ Brokerage
Approx. Balance
Retirement
Approx. Balance
Gift from Family
Proceeds from Sale of a Property
Questions/Comments/Concerns
Message
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