Financing

My Loan aPpLICATION

Borrower Name

First Name

Middle Name

Last Name

Suffix

Borrower Information

Date Of Birth

Social Security Number

Citizenship

Martial Status

Number of Dependents

Cell Phone

Home Phone

Work Phone

Borrower Military Service

Did you (or your spouse) ever serve, or are you currently serving, in the United States Armed Forces?

Yes

EGON Consent Agreement

Borrower Residential Address

Address

City

State

Zip code

How long have you been at this address?

Do you rent or own?

Borrower Employment Information

Please list your current or most previous employment information below.

Current Employer

Company Name

Business Phone

Position/Title

Address

City

State

Zip code

Starting Date of Employment

Borrower Gross Monthly Income

Gross monthly income refers to how much money you make every month before any deductions, such as tax, come into play.

Base

$ .00

Overtime

$ .00

Bonuses

$ .00

Commissions

$ .00

Total Borrower Monthly Income:

Additional Gross Monthly Income

List any other monthly sources of income you have (such as child support, investments, etc).

Income Source *

Amount

User Agreement

By submitting this form I agree to let EGON Construction and/or their preferred lender use the information provided to obtain a credit report and determine whether or not I pre-qualify for a home or construction loan.