Refinance Application

Personal Information

First Name

Middle Name

Last Name

Date of Birth

Social Security Number

Marital Status

Single

Married

Divorced

Widowed

Number of Dependents

Current Address

Address Line 1

City

State

Zip Code

Previous Address (if less than 2 years at the current address):

Address Line 1

City

State

Zip Code

Phone Number

Email Address

Employment and Income Information

Current Employer

Employer Name

Employer Address

Position/Title

Employment Status

Full-time

Part-time

Self-employed

Start Date

Gross Monthly Income ($)

Employment and Income Information

Previous Employer (if less than 2 years at the current employer)

Employer Name

Employer Address

Position/Title

Start Date

End Date

Additional Income

(Bonuses, Commissions, Overtime, etc.)

Description

Amount ($)

Other Income Sources

(Investments, Rental Income, Alimony, etc.)

Description

Amount ($)

Assets and Liabilities

Assets

Checking Account(s):

Bank Name

Balance ($)

Savings Account(s):

Bank Name

Balance ($)

Retirement Accounts:
(401(k), IRA, etc.)

Institution Name

Balance ($)

Investments
(Stocks, Bonds, Mutual Funds)

Description

Balance ($)

Real Estate Owned

Address

Estimated Value ($)

Liabilities

Current Mortgage(s)

Lender Name

Balance ($)

Credit Card Debt

Lender Name

Balance ($)

Auto Loans

Lender Name

Balance ($)

Student Loans

Lender Name

Balance ($)

Personal Loans

Lender Name

Balance ($)

Other Debts

Description

Balance ($)

Credit History

Bankruptcy History

Have you declared bankruptcy in the past 7 years?

Yes

Date of Discharge

Foreclosure History

Have you had a property foreclosed upon in the past 7 years?

Yes

Date of Foreclosure

Declarations

Declarations and Questions

Are you a U.S. citizen?

Yes

Have you had a property foreclosed upon in the last 7 years?

Yes

Are you a party to a lawsuit?

Yes

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Personal Information

Employment and Income Information

Employment and Income Information

Additional Income

Other Income Sources

Loan Details

Assets and Liabilities

Liabilities

Credit History

Declarations

Amerifund Corporation
info@amerifundcorporations.com
714-713-0321
MLO#253281
NMLS# 2174179
BRE# 019252363

Refinance Application

Apply Now

Personal Information

Employment and Income Information

Employment and Income Information

Additional Income

Other Income Sources

Loan Details

Assets and Liabilities

Liabilities

Credit History

Declarations

Amerifund Corporation info@amerifundcorporations.com 714-713-0321 MLO#253281 NMLS# 2174179 BRE# 019252363

Amerifund Corporation
info@amerifundcorporations.com
714-713-0321
MLO#253281
NMLS# 2174179
BRE# 019252363