This application form is for a new loan to purchase a home.
If you want a loan to refinance an existing home loan, click here.

* required fields

Applicant's Name: *
Applicant's Social Security #: * (ex:111-22-3333)
Co-Applicant's Name:
Co-Applicant's Social Security #:    (ex:111-22-3333) 
Address: *
City: *
State (US Only): *  Please Select State
Zip/Postal Code: * (ex: 07284)
Home Phone: * (ex: 000-000-0000)
Work Phone: * (ex: 000-000-0000 Ext. 220)
Email Address: *
Best Time to Call: *
Type of Home: *
Property Usage: *
Property State: *  Please Select State
Preferred Closing: *  Days Till Move-In
Purchase Price: * (ex: $100,000)
Desired Loan Amount: * (ex: $90,000)
Down Payment: *
Preferred Payment Schedule: *
How Long Do You Plan To Own This Home: *
Credit Rating: *
Place of Employment: * 
Years on Job: *
Total Household Monthly Income:  *
Monthly Debt: (Do not include Rent or House Payment) *
Liquid Assets: * 
Additional information that you think may be helpful:

In order to complete your loan review, we require your authorization to review your credit history. It is very important to have your authorization.

Yes, I give you authorization to check my credit.
No, I do not give you authorization to check my credit.



The above information you submit to GoCredix is treated as confidential and will only be used for
the purposes of a real estate loan application. We will never sell this information to a third party marketer.

To read our privacy policy click here.

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