Real Estate Loan Application | Horizons North Credit Union | Westminster, CO

Personal Information:

First Name
OK First Name is required
Middle Name
Optional OK Middle Name is required
Last Name
OK Last Name is required
Social Security Number
OK Social Security Number is required
Date of Birth
OK Date of Birth is required
Marital Status
OK Marital Status is required
E-Mail
OK E-Mail is required
Verify E-Mail
OK Verify E-Mail is required
Home Phone
OK Home Phone is required
Work Phone
Optional OK Work Phone is required
Work Phone Extension
Optional OK Work Phone Extension is required
Mobile Phone
OK Mobile Phone is required
Best Way to Contact
OK Best Way to Contact is required
Best Time to Contact
OK Best Time to Contact is required

ID Type

ID Type Selection:
OK ID Type Selection: is required
ID - State or Description
OK ID - State or Description is required
ID - Number
OK ID - Number is required
ID - Issue Date

OK ID - Issue Date is required
ID - Expiration Date

OK ID - Expiration Date is required

Residential Information

Residential Status
OK Residential Status is required
Monthly Amount
OK Monthly Amount is required
Address 1
OK Address 1 is required
Address 2
Optional OK Address 2 is required
City
OK City is required
State
OK State is required
Zip
OK Zip is required
Years at Address
OK Years at Address is required
Months at Address
OK Months at Address is required

Previous Address (if less than 1 year at current address)

Residential Status
Optional OK Residential Status is required
Previous Address 1
Optional OK Previous Address 1 is required
Previous Address 2
Optional OK Previous Address 2 is required
City
Optional OK City is required
State
Optional OK State is required
Zip
Optional OK Zip is required
Years At Previous Address
Optional OK Years At Previous Address is required
Months at Previous Address
Optional OK Months at Previous Address is required

Individual Applicant Information
Employment Information
Loan Information
Legal Information
Form Complete