United Mortgage Group Online Loan Application

Please complete this application as thoroughly as possible. * Indicates required fields.
Property information
Address*
City, State* Zip * Year Built*
Purpose of Loan:*
Purchase Refinance
Property will be:*
Primary Residence Investment


Are you currently working with a loan officer?
Yes No    If yes, please tell us who:



Complete this line if this is a refinance loan.
Year Acquired Original cost
Amount Existing Liens
Borrower Information
Name*  SSN#* 
Home Phone(include area code)*  Alternate Phone 
Email Address*  Date of Birth* 
Present Address* 
City, State*   
Zip* 
Own Rent No. Years

Co-Borrower
Name  SSN# 
Home phone(include area code)  Date of Birth 
Same address as borrower? Yes No

(If address is different:)
Present Address 
City, State   
Zip 
Own Rent No. Years
Employment information
Borrower Self Employed
Name of Employer*

Address(City, State, Zip)*

Position/Title/Type of Business

Yrs. on the job*

 CoBorrower Self Employed
Name of Employer

Address(City, State, Zip)

Position/Title/Type of Business

Yrs. on the job
Gross Monthly Income**
BorrowerCo-BorrowerTotal
*Self employed borrower(s) may be required to provide additional documentation such as tax returns and financial statements.


I wish to submit this application for pre-approval.
I do NOT wish to submit for pre-approval, but please call me at:
*Please indicate preference

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. The law provides that a Lender may neither discriminate on the bases of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do hot wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosure satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
Borrower Co-Borrower
Race/National originRace/National origin
I do not wish to furnish this information
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic Origin
White, not of Hispanic Origin
Hispanic
Other (specify)
 I do not wish to furnish this information
American Indian or Alaskan Native
Asian or Pacific Islander
Black, not of Hispanic Origin
White, not of Hispanic Origin
Hispanic
Other (specify)
SexSex
Male Female Male Female