Loan Application
Please fill out all of the applicable information in the following form.
If you have any questions, please call 801-492-9955
Borrower Name Co-Borrower Name
Current Address Subject Address
City, State, Zip City, State, Zip


Number of years at this address  
Borrower Social Security Number Co-Borrower Social Security Number
Borrower Date of Birth Co-Borrower Date of Birth
Borrower Phone Co-Borrower Phone
Borrower Employer Co-Borrower Employer
Self employed? Self employed?
Borrower Income Co-Borrower Income
Borrower Reserves Co-Borrower Reserves
Borrower 401K Co-Borrower 401K
Borrower Debt1 Company Co-Borrower Debt1 Company
Borrower Debt1 Payment Co-Borrower Debt1 Payment
Borrower Debt2 Company Co-Borrower Debt2 Company
Borrower Debt2 Payment Co-Borrower Debt2 Payment
Borrower Debt3 Company Co-Borrower Debt3 Company
Borrower Debt3 Payment Co-Borrower Debt3 Payment
Borrower Debt4 Company Co-Borrower Debt4 Company
Borrower Debt4 Payment Co-Borrower Debt4 Payment
Loan Amount Email
Purchase price  
 
   

By submitting this application, you are authorizing Legacy Mortgage
to order a consumer credit report and to contact you regarding this application.
 
      Legacy Mortgage - 42 North 200 East - American Fork, Utah 84003 | Phone: (801) 492-9955 - Fax (801) 492-9950