HARP Application
Please note that all fields followed by an asterisk must be filled in.
Property State*
---Select--- • Florida
• New Jersey
• Connecticut
County of subject property*
When do you want to close*
---Select--- ASAP
30 days
more than 30 days
Describe your Credit*
---Select--- Excellent (720 and above)
Good (660-719)
Average (620-659)
Refinance*
---Select--- Fannie Mae owns my mortgage
Freddie Mac owns my mortgage
HARP refinance
Fannie Mae does not own my mortgage
Freddie Mac does not own my mortgage
I don't know who owns my mortgage
Other
Do you have 12 months verifiable rental or mortgage history*
---Select--- Yes - Mortgage paid on time for 12 months
Yes - 12 months cancelled rent checks (rent)
Yes - Management company verification (rent)
No - Mortgage payments late
No - I cannot verify rental history
Have you ever declared bankruptcy, when was it discharged*
---Select--- Never Declared
1-12 months ago
13-24 months ago
25-36 months ago
37-48 months ago
49-60 months ago
61-72 months ago
Over 72 months ago
Do you have any foreclosures*
---Select--- Never Foreclosed
1-12 months ago
13-24 months ago
25-36 months ago
37-48 months ago
49-60 months ago
61-72 months ago
73-84 months ago
Over 84 months ago
Have you ever had a short sale*
---Select--- Never short sale
1-12 months ago
13-24 months ago
25-36 months ago
37-48 months ago
49-60 months ago
61-72 months ago
73-84 months ago
Over 84 months ago
Are you requesting a loan with a spouse or co-borrower*
---Select--- No co-borrower
Spouse
Other co-borrower
Co-Borrower Describe your Credit -
---Select--- Excellent (720 and above)
Good (660-719)
Average (620-659)
Co-Borrower first name -
Co-Borrower middle initial -
Co-Borrower last name -
Co-Borrower address -
Co-Borrower Annual Income -
Co-Borrower Date of birth -
Co-Borrower Social Security # -
Property value*
Loan Amount*
Your first name*
Your middle initial*
Your last name*
Please choose a suffix
---Select--- Sr.
Jr.
I
II
III
Daytime/Work Phone*
Evening Phone*
Cell Phone*
What is your employment status *
---Select--- Full Time
Part Time
Self Employed
Home Maker
Student
Retired
Other
What is your email address*
Current mailing address*
City*
State*
ZIP code*
How long have you lived at this address*
---Select--- Less than 2 years
More than 2 years
Date of birth*
Marital status*
---Select--- Married
Not Married
Divorced
Separated
Citizenship status*
---Select--- US Citizen
Permanent Resident Alien
Non-Permanent Resident Alien
Non-Resident Alien
Social Security #*
What are your total monthly debt payments, excluding housing*
What is your monthly housing payment*
Annual Income*
How much do you have in checking, savings, stocks, bonds, mutual funds, 401K*
Please tell us about any special circumstances that may apply to your loan request and/or the best time for us to call you