Let one of our friendly, professional Mortgage Loan Officers assist
you in making your homeownership dreams
a reality!
Jacalyn Ayoub
221 S. Locust St.
Grand Island, NE
308-398-4925 Email
Debbie Trosper
3419 W. State St.
Grand Island, NE
308-398-4923 Email
Mindy Gilbertson
3311 W. Stolley Park Rd.
Grand Island, NE
308-398-4926 Email
Dave Halbert 223 E 14th St Ste 235
Hastings, NE 68901 office(402) 462-4533 cell(402) 469-9699 Email
If you
have any questions or concerns please contact us at (308)382-4000 or by
email at info@homefedgi.com.
Please complete all
information. When finished, please send your application to Home Federal by pressing the
Submit button at the bottom of the form. Once you start
the application, please stay in the page so information will not be lost.
If you exit the page you may have to re-enter the information.
All of our forms are encrypted
for your security, but if you prefer, you may print out this form and mail or fax to:
221 South Locust Street
PO Box 1009
Grand Island, NE 68802-1009
FAX #308-382-9235
(Home Federal is a depositor-owned financial institution; therefore, we generally do not
originate loans or accept deposits from sources outside of our immediate trade area.)
First Name
Middle Initial
Last Name
Address:
City: State:
Zip:
Do you Own or Rent?
How Long at Current Residence?
If less than 2 years, previous address(s)
need full 2 year history and length:
If less than 2 years with current employer,who was your previous employer: (need a full 2 year history, including time
held)
Other Income: ( i.e. child support, alimony, disability, social security, 2nd
job, retirement)
Source
Amount per
month
$ $ $
Notice:
Alimony, child support, or separate maintenance income need not be
revealed if the Borrower does not choose to have it considered for
repaying this loan.
If less than 2 years with current employer,who was your previous employer: (need full 2 year history, including time held)
Other Income: (i.e. child support, alimony, disability,
social security, 2nd job, retirement)
Source
Amount per
month
$ $ $
Notice: Alimony, child support, or separate
maintenance income need not be revealed if the Borrower does not
choose to have it considered for repaying this loan.
(Complete this section
if you already have a property you wish to purchase or refinance.)
Property Address:
City:
State:
Zip:
Property Type
No. of Units Occupancy
Annual Property Taxes:
Annual Home
Owner's Insurance:
Desired Loan Conditions
Please input the rate of interest, loan amount and the loan term that you expect, for
purposes of calculating an estimated monthly payment and loan amount for which you qualify.
Loan Amount:
dollars
Term of Loan:
years
Funds available for down payment and/or closing cost:
dollars
Declarations
If
you answer "Yes" to any questions a through i, please use the comments
box below for explanation.
Borrower
Co-Borrower
Yes
No
Yes
No
a. Are there
any outstanding judgments against you?
b. Have you
been declared bankrupt within the past 7 years?
c. Have you
had property foreclosed upon or given title or deed in lieu thereof in
the last 7 years?
d. Are you a
party to a lawsuit?
e.
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.)
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 as
described in the
preceding question.
g.
Are you obligated to pay alimony, child support, or separate
maintenance?
l.
Do you intend to occupy the property as your primary residence?
If "yes", complete question m below.
m.
Have you had an ownership interest in a property in the last three
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)?
-------------------------------------------------------------------------------------------------- Information for Government Monitoring
Purposes The following 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 neither discriminate 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. 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 have made this application in person.
If you do not wish to furnish the information, please check the circle
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:
Hispanic
or LatinoNot
Hispanic or Latino Race:
American
Indian or Alaska Native
Asian
Native
Hawaiian or Other Pacific Islander
White
Black or
African American Sex:
Female
Male
Co-Borrower
I do
not wish to furnish this information Ethnicity:
Hispanic
or Latino
Not
Hispanic or Latino Race:
American
Indian or Alaska Native
Asian
Native
Hawaiian or Other Pacific Islander
White
Black
or African American Sex:
Female
Male
If you are already
working with a Home Federal Loan Officer or would like to, please select that officer:
Any additional comments you may have:
Thank You! Upon receipt of
this form we will review your application and
get back to you as soon as we can, usually within 1-2
business days,
to inform you of your eligibility.
IMPORTANTACCOUNT OPENING
INFORMATION: Federal law requires Home Federal Bank to obtain
sufficient information to verify your identity. You may be asked
several questions and to provide one or more forms of identification to
fulfill this requirement. In some instances we may use outside sources
to confirm the information. The information you provide is protected
by Home Federal Bank's Privacy Policy and federal law.
If you
are requesting a first-time homebuyers loan, all income from all sources
for your entire household must be declared, so we can determine the
programs for which you are eligible.
Home Federal invites you to "Build Your
Future at Home".
