Allentown Mortgage Corp
6104345222 
License #:
allenmtg@aol.com
 
Secure Short Application
 
Short Application
MORTGAGE INFORMATION
Loan Purpose   Loan Type   Amortization Type
   
Loan Amount   Interest Rate   Estimate Closing Time
   
Down Payment Amount   Source of Down Payment   
   
PROPERTY INFORMATION
Property Will Be   Property Market Value / Purchase Price *  

 

     
Address:  
City:   State:
  Zip:
 
 
 
 
BORROWER INFORMATION
First Name*  
Last Name*
  Social Security Number
 
       
Address*  
City*   State*
  Zip*
 
 
 
Email Address*   Work Phone*   Home Phone*
               
Borrowers Current Employer   Time with Employer   Gross Monthly Income
 
Years
  $
Borrower Credit History   Are You Self Employed    
     
 
CO-BORROWER INFORMATION
First Name  
Last Name
  Social Security Number
 
       
Address  
City   State
  Zip
 
 
 
Email Address   Work Phone   Home Phone
               
Borrowers Current Employer   Time with Employer   Gross Monthly Income
 
Years
  $
Borrower Credit History   Are You Self Employed    
     
* = Required Field
Secure 1003 Application provided by: Superior Internet Solutions
By submitting your application, you are authorizing Allentown Mortgage Corp to obtain a credit report. All non-public information you provide will be protected per our privacy policy. A representative from Allentown Mortgage Corp may contact you by telephone. By submitting your expression of interest you are consenting to receive telephone calls from Allentown Mortgage Corp.