Online Mortgage Loan Application for AGF Mortgage Inc


	9140 Ward Parkway Kansas City, Missouri 64114 816-361-9988 or 800-930-4243

Please call and talk to a loan officer at: 816 361-9988 or 800-930-4243

Section 1 - Loan Information

Loan Amount:	No. of Years	Type of Loan	Purpose of the Loan	Document Type	Purchase Price	Appraisal Value

Subject Property (the house that you are getting this loan for)

Street Address	City	State	Zip	Type of Property	Number of Units

Current Residence

Street Address	City	State	Zip	How Long	Phone	Cell-Phone

Borrower

Co-Borrower

First, Middle Initial, Last	DOB (MM/DD/YY)	SS#	First, Middle Initial, Last	DOB (MM/DD/YY)	SS#

Liabilities

Real Estate (skip if you do not have an existing home)

#	Street Address	Type	Appraisal Value	Loan Balance	Payment	Balance of Second	Payment of Second

Other Liabilities

Total of all installment loans (car, student, personal loan)

Total of all revolving loans (credit card, department stores, etc.)

Balance

Monthly payment

Balance

Monthly payment

Declarations	Borrower	Co-Borrower	Additional Comments
Are there any outstanding judgments against you?
Have you declared bankruptcy within the past 7 years?
Are you obligated to pay alimony, child support, separate maintenance?
Do you intend to occupy the property as a primary residence?
How do you rate your credit? (100% or zero down payment loan requires credit score of 620 or more). For lower than 640 down payment is required.
Credit score (if known)

Section 2 - Assets

Bank Account

Balance In

Balance in

Use the space below to address other issues

Balance in Checking	Balance in Savings

Retirement

Other

Section 3 - Employment

Borrower

Co-Borrower

Employer's Name	Address (street, city, state, zip code)

Employer's Name	Address (street, city, state, zip code)

Phone Number	How Long	Self Employed?

Phone Number	How Long	Self Employed?

Section 4 - Income

Borrower's Monthly Income	Use the space below if you need to explain	Co Borrower's Monthly Income	Use the space below if you need to explain

Acknowledgment and Agreement

I hereby authorize AGF MORTGAGE, INC. to verify my past and present employment, earnings records, bank accounts, stock holdings and any other asset balances needed to process my mortgage application. I further authorize AGF MORTGAGE, INC. to order a mortgage credit report and verify all other credit information, including past and present mortgage and landlord references. It is understood that a photocopy of this document shall also serve as an authorization to provide the information requested. The information obtained is only to be used in the processing of my mortgage loan application.

Borrower: E-mail: Co-Borrower: E-mail:

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