PremierBank - Mortgage Loan Application

Mortgage Loan Application

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.

Required Fields

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.

Is this a refinance transaction?

If this is a refinance transaction, please complete the following

Improvements

Borrower information

Do you rent or own?

Have you lived here for less than two years?

Is your mailing address different than your home address?

Dependents

Employment

Have you worked here for less than two years?

Co-Borrower Information

Notice to married applicant: No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis. Stat. sec 766.70 adversely affects the interests of the bank unless prior to the time the credit is extended, the bank is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the bank is incurred.

Do you rent or own?

Have you lived here for less than two years?

Is your mailing address different than your home address?

Dependents

Employment

Have you worked here for less than two years?

Financial Information

Please note: Alimony, child support or separate maintenance income need not be revealed if the borrower (B) or co-Borrower (C) does not choose to have it considered for repaying this loan. Also self employed borrowers may be required to provide additional documentation such as tax returns and financial statements. (before taxes)

Gross Monthly Income (Assets)

Current Monthly Housing Expenses

List Checking & Savings Account Information Below

Account #2

Account #3

Real Estate Owned

Additional Assets

Automobiles

Other Assets

Current Monthly Payments: (Liabilities)

Declarations

  • Borrower

  • Co-Borrower

  • a. Are there any judgments against you?

  • b. Have you been declared bankrupt within the past 7 years?

  • c. Have you had property foreclosed on or given title or deed in lieu of w/i 7 years?

  • 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)

  • 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

  • g. Are you obligated to pay alimony, child support or separate maintenance?

  • h. Is any part of the down payment borrowed?

  • i. Are you a co-maker or endorser on a note?

  • J. Are you a U.S. citizen

  • k. Are you a permanent resident alien?

  • l. Do you intend to occupy the property as your primary residence?
    (if yes complete question M below)

  • m. Have you had ownership interest in a property in the last three years?

Demographic Information Borrower (s)

The purpose of collecting this information is to help ensure that all the applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.

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

Important Information About Procedures for Opening a New Account

To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

You will be required to come into one of our locations to complete the loan process. (Sign loan papers, verify information, etc.)

Privacy Policy Information

You must choose one of the following options