PremierBank is based in Fort Atkinson, Wisconsin and has physical locations in Jefferson, Rock, and Walworth Counties focusing on lending to people in the south central Wisconsin area.
Mortgage Loan Application Purpose of the Loan Will this application be completed individually or jointly?
Property Information Is this a pre-qualification? If this is a pre-qualification request, please select “Yes” and go directly to the Borrower Information section. If your request is not a pre-qualification, please select “No” and complete the Property Information below.
Property Address
Is this a refinance transaction?
If this is a refinance transaction, please complete the following Improvements
Borrower information Address
Do you rent or own? Have you lived here for less than two years? Address
Is your mailing address different than your home address? Address
Dependents
Employment Employer Name
First
Last
Employer Address
Have you worked here for less than two years?
Gross Monthly Income (Assets)
Current Monthly Housing Expenses
List Checking & Savings Account Information Below Address
Account #2 Address
Account #3 Address
Real Estate Owned Property Address
Additional Assets
Automobiles
Other Assets
Current Monthly Payments: (Liabilities)
Declarations a. Are there any judgments against you?
Borrower Co-Borrower b. Have you been declared bankrupt within the past 7 years?
Borrower Co-Borrower c. Have you had property foreclosed on or given title or deed in lieu of w/i 7 years?
Borrower Co-Borrower e. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer or 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 please provide details, including name & address of lender, FHA or VA case number, if any, and give reasons for the action below)
Borrower Co-Borrower f. 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 below
Borrower Co-Borrower g. Are you obligated to pay alimony, child support or separate maintenance?
Borrower Co-Borrower h. Is any part of the down payment borrowed?
Borrower Co-Borrower i. Are you a co-maker or endorser on a note?
Borrower Co-Borrower j. Are you a U.S. citizen
Borrower Co-Borrower k. Are you a permanent resident alien?
Borrower Co-Borrower I. Do you intend to occupy the property as your primary residence?
(if yes complete question M
Borrower Co-Borrower m. Have you had ownership interest in a property in the last three years?
Borrower Co-Borrower Borrower
Ethnicity: Check one or more Race: Check one or more Sex Co-Borrower
Ethnicity: Check one or more Race: Check one or more Sex Privacy Policy Information(Required) You must choose one of the following options
FDIC-Insured - Backed by the full faith and credit of the U.S. Government