This application form is to refinance an existing home mortgage.
If you want a loan to purchase a new home, 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 your state
Zip Code: *  (ex:  07984)
Home Phone: *  (ex:  408-853-1212)
Work Phone: *  (ex:  800-555-1212 Ext. 212)
Email Address: *  Your email address
Best Time to Call: *  Please select
Do You Own Your Home? *  No Mobile Homes
Year Purchased: *  Please select
Property Type: *  Please select
Current Property Value: *  (ex:  275000)
Purchase Price: *  (ex:  175000)
1st Mortgage Balance: *  (ex:  150000) If paid in full enter 0
2nd Mortgage Balance: *  (ex:  23000)  If N/A enter 0
Interest Rate on 1st Mortgage: *  (ex:  7.875%)
Fixed or Adjustable *  Please select
Monthly Payment: *  (ex:  1685) If paid in full enter 0
Behind on Payments? *  Please select
Credit Rating: *  Please select credit rating
Place of Employment: *
Years There: *  Please select
Yearly Income: *  (ex:  100000)
Loan Amount You Wish To Borrow: *  (ex:  240000)
Loan Interested In: *  Please select
Down Payment Amount:   Required For Purchase Only
Additional information:

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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