Application

Please fill in all blank areas and hit the submit button when you are finished. If this page does not submit, print out the form and fax it to 410-668-8536. A

loan officer will contact you within 48 hours to advise you of your options.

Reason for Loan:

Looking to: Lower Rate Lower Monthly Payment Cash Out Lower Term Debt Consolidation Fixed Rate
Combine Mortgages Second Mortgage Home Equity Loan Payoff Judgment/Liens Home Improvement Bi-Weekly Program



Borrower						Co-Borrower

First Name MI Last Name						First Name MI Last Name

Street Address						Street Address

City State Zip Code						City State Zip Code

Home Phone Work Phone Cell Phone						Home Phone Work Phone Cell Phone

Email SSN Age						Email SSN Age
Married						Married
Single Dependents Ages						Single Dependents Ages

Employer Gross Annual Income						Employer Gross Annual Income


Estimated Home Market Value Monthly Rent if applicable						Last Appraisal Date Taxes/Year if applicable

Insurance/Year Owner-Occupied Years Rental Years						Previous Address if less than two years


First Mortgage Balance Interest Payment						Interest Rate T&L Inc

Second Mortgage Balance Interest Payment						Interest Rate T&L Inc

Home Equity Balance Interest Payment						Interest Rate T&L Inc

Monthly Car Payment Monthly Credit Card Payments Other Monthly Payments

How many mortgage payments did you make 30 days late in the past 12 months?
Have you ever filed bankruptcy? Yes No Year of discharge?
How would you rate your credit?