Mortgage Loan Application


Applications only accepted for properties located in Colorado
Please tell us about yourself by completing the information below.  Before getting started, please make sure you have information on your monthly income, current assets, current mortgage(s), credit card and loan balances. Please tell us about the loan you are requesting and how you can be reached.

We understand that you expect privacy and security for all of your financial dealings. Therefore, we take security very seriously and have developed highly secure systems to ensure that the information you send us in this form will be seen only by employees inside our company, to evaluate you for a loan.

 Check if you intend to apply for joint credit

*  Information required
 
*Amount Requested:  * Number of Months:     Months 
*Purpose: If other please specify:  
*Type of Mortgage applied for:
     		 If other please specify:
Property will be your:     If other please specify:
*I can best be contacted by:
  Best Time To Contact:  
Subject Property Address: 
Source of down payment, settlement charges and/or subordinate financing:  
If loan is for a refinance please complete the following section or skip to the about yourself section
Year acquired:                Original cost:               
Amount Existing Liens:   Purpose of Refinance:   
Describe Improvements:  Cost:   

Please tell us about yourself .
*First Name M.I. *Last Name
Marital Status
 Social Security Number
 Birth Date(mm/dd/yyyy)
*E-Mail Address Years of Education
*Present Street Number *Present Street Name
*City *State  *Home Zip
Home Phone Number

(If current address is less than 2 years)
 If no previous address skip to Employer Name       
 Street Number
  Street Name Street Type
 City  State   Zip
Time at this address?
yrs 		Rent or Own
Number of Dependents: Ages:
 
If you are employed, please tell us about your job and the before tax income you earn from that job.
If you are not employed, please skip to the Additional Income field below. Go to Additional Income.
Employer Name *Monthly Salary Amount
 Are you self-employed?
Length of time there
  years  months		 *Job Title
 *Work Phone
Previous Employment ( If current employment is less than 2 years )
*Previous Employer Name
*Previous Length of time there
  years  months		 Previous Job Title
 Previous Work Phone
Please tell us about any additional income, before taxes, that you may receive. If you do not have any additional income, please enter "none" for the source of additional income and "0" for the amount. Alimony, child support or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this loan.

Alimony, child support, separate maintenance received under: 
*Source of Additional Income
  		*Amount of Additional Income (monthly)
If joint application please supply Co-Borrower Information.
 If this is not a joint application please skip to
Non Mortgage Debt section.
*First Name M. I. *Last Name
*Marital Status
*Social Security Number
 *Birth Date(mm/dd/yyyy)
*E-Mail Address Years of Education
*Present Street Number
 *Present Street Name
*City
 *State
*Home Zip
Home Phone Number
Previous Address
If no previous address skip to Employer Name
 Street Number
  Street Name
 Street Type
 City  State Zip
Time at this address?
  yrs  months		 Rent or Own
Number of Dependents: Ages:
If you are employed, please tell us about your job and the before tax income you earn from that job.

If you are not employed, please skip to the Additional Income field below. Go to Additional Income.
Employer Name
 *Monthly Salary Amount Are you self-employed?
Length of time there
years  months		 *Job Title
 *Work Phone
Previous Employment ( If current employment is less than 2 years )
*Previous Employer Name
*Previous Length of time there
  years  months		 Previous Job Title
 Previous Work Phone


Please tell us about any additional income, before taxes, that you may receive. If you do not have any additional income, please enter "none" for the source of additional income and "0" for the amount. Alimony, child support or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this loan.


Alimony, child support, separate maintenance received under: 
*Source of Additional Income
 *Amount of Additional Income (monthly)
Please tell us about your non-mortgage debts.
What are your total combined credit card balances?
(includes major credit cards, department stores, gas cards, etc.)
What is your total combined minimum monthly payment on credit cards?
What are your total combined consumer loan balances?
(Installment loans, student loans, equipment loans, etc.)
What is your total combined monthly payment on consumer loans?
What is your total combined monthly payment on auto loans?
How would you rate your credit?  
 
Please tell us some more about yourself: Borrower Co-Borrower
Are there any outstanding judgments against you?
Have you been declared bankrupt within the past 7 years?
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Are you a party to a lawsuit?
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?  (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee.  If "Yes" provide details, including date, name and address of Lender, FHA or VA case number, if any, and reasons for the action).
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes" give details as described in the preceding question.
Are you obligated to pay alimony, child support, or separate maintenance?
Is any part of the down payment borrowed?
Are you a co-maker or endorser on a note?
Are you a U.S. citizen?
Are you a permanent resident alien?
Do you intend to occupy the property as your primary residence?
Have you had an ownership interest in a property in the last 3 years?
1. What type of property did you own - principal residence (PR), second home (SH), or investment property (IP)?
2. How did you hold title to the home - solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?
Please tell us about your Assets:
Checking Account Numbers:
Where:
Value:
Savings Account Numbers:
Where:
Value:
Investment Account Numbers:
Where:
Value:
Schedule of Real Estate Owned:
Address:
Value: Mortgage:
Schedule of Real Estate Owned:
Address:
Value: Mortgage:
Other Assets:
Value:
Value:
Value:
Total Assets:          
SIGNATURES - I certify that everything I have stated in this application and on any attachments is correct and complete. You may keep this application whether or not it is approved. By signing below I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.  I understand that you are relying upon the information contained in this application in making a decision as to whether or not to grant credit.  If I submit this application to you electronically I recognize that I am granting you the same authority as if I had submitted a signed application.
Signature: Date: Co-Signature: Date:
 
   
 
   

You may transmit this application via the Internet, or you may print the application, sign it, and mail it to American National Bank,  Internet Banking Coordinator, .

We would like to address any questions you may have regarding your online application. Please call us at 307-634-2121 or use the convenient box below. Thank you.

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation and surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)
  Borrower
I do not wish to furnish this information
Ethnicity:
Race:



Sex:
Co-Borrower
I do not wish to furnish this information
Ethnicity:
Race:



Sex:
               

  Equal Housing Lender Equal Housing Lender