There is no cost or obligation - total time to complete is 3 to 5 minutes.

Please complete all applicable information below. The more information you provide, the more accurate your pre-approval will be. If you have any questions, please call our toll free number 1-888-999-1066 for immediate assistance. This is a secure page.

I am a new Mountain Crest Mortgage Client (please complete entire application)

I am a previous Mountain Crest Mortgage client (only complete the information which is different from your last application, please include name & phone numbers)

PERSONAL INFORMATION

	Borrower	Co-Borrower
First Name
Last Name
Current Address
City, State Zip	,	,
Self-Employed	No Yes	No Yes
Employer's Name
Years with Employer
Gross Monthly Income

PROPERTY INFORMATION

Loan Purpose	Choose Purchase Refinance 1st Mortgage Only Refinance 1st and 2nd Mortgage Refinance to consolidate debts Refinance to take cash out	New Construction	No Yes
Property Type	Choose From List Single Family Home Townhome Condominium Duplex 3-Unit 4-Unit	Property Value
Loan Use	Choose From List Primary Residence Second/Vacation Home Investment Property	Tentative Closing
Loan Amount		Property State

Which of the following Mortgage Programs are you interest in? (check all that apply)

Fixed Rate Programs: 30 Year 25 Year 20 Year 15 Year 10 Year

Adjustable Rate Programs: 7/1 ARM 5/1 ARM 3/1 ARM 1/1 ARM 60 MTA

Other Programs: 2/1 Buy Down 7/23 Balloon FHA VA Other:

CURRENT CREDIT OBLIGATIONS (please use estimates)

Mortgage(s):

Mortgage Balance	Minimum Monthly Payment	Type of Mortgage	Balance to be paid with Loan Proceeds?
		Choose From List 1st Mortgage 2nd Mortgage Home Equity	No Yes
		Choose From List 1st Mortgage 2nd Mortgage Home Equity	No Yes

Loan(s) and/or Credit Card(s):

Current Balance	Minimum Monthly Payment	Type of Loan	Balance to be paid with Loan Proceeds?
		Choose From List Auto Education Personal Credit Card Other	No Yes
		Choose From List Auto Education Personal Credit Card Other	No Yes
		Choose From List Auto Education Personal Credit Card Other	No Yes

CONTACT INFO

	Borrower	Co-Borrower
E-mail Address
Home Phone
Work Phone
Best Time To Contact	Choose Anytime 6-9 AM (MST) 9-12 AM (MST) 12-3 PM (MST) 3-7 PM (MST)	Choose Anytime 6-9 AM (MST) 9-12 AM (MST) 12-3 PM (MST) 3-7 PM (MST)

Attention to anyone in particular?
How did you hear about us?

COMMENTS
Any other income, credit, or other information that you feel we might need to know:

AUTHORIZATION

Borrower's Social Security Number (optional)
Co-Borrower's Social Security Number (optional)

I/We hereby authorize Mountain Crest Mortgage, Inc. to check my/our credit, business and employment history for the purpose of obtaining a mortgage.

By choosing SUBMIT, I agree that I have read the Mountain Crest Mortgage privacy policy.

(Choosing "Reset" will erase the information you have entered.)

 

PLEASE NOTE:
We always respond to our applicants. If you have not heard from us within 24 hours your transmission may have malfunctioned so please call 888-999-1066 and we will assist you immediately!