Full Application Get Started with our Full Application As you complete the application, please use your best estimate if you don't have proper documentation. You will need documentation for all borrowers, including: • Social Security Number • Contact and employment information • Best estimates of income, assets, and liabilities After you have finished we will contact you to: • Guide you through the loan process • Complete your loan application package • Help you select the best program and interest rate This is a secured application - your browser should show https: or a lock in your browser toolbar. Borrower First Name* 0 of 40 max characters Borrower Middle Initial(s) 0 of 3 max characters Borrower Last Name* Borrower Email* Enter Email Confirm Email Privacy Policy* I accept the terms of the privacy policy We take our clients' financial privacy very seriously. During the course of processing your application, we accumulate non-public personal financial information from you and from other sources about your income, your assets, and your credit history in order to allow a lender to make an informed decision about granting you credit. We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information. We collect nonpublic information about you from the following sources: (i) information we receive from you on applications or other forms; (ii) information about your transactions with us, our affiliates, or others; and (iii) information we receive from a consumer reporting agency. We do not disclose any nonpublic information about our customers or former customers to any third party, except as permitted by law. Loan Information Purpose of Loan* Purchase Refinance Purchase Price $* Loan Amount Requested $* The amount you want to borrow. Do you have an executed contract? Yes No Please select yes if you have submitted an offer to purchase the property in question. Amount of Down Payment $ Estimated Amount of Money Down Source of Down Payment Savings Sale of Home Gift 401K Retirement Plan Other Subject Property Address Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Personal Information Social Security #* Date of Birth* MM slash DD slash YYYY Marital Status Married Unmarried Separated Home Phone or Cell Phone* Number of Dependents Current Address* Street Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific State ZIP Code Length at Current Address Years* Please Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 or more Months* 0 1 2 3 4 5 6 7 8 9 10 11 Employment and Income Are You Currently Employed?* Yes No Current Employer Name* Position* Self-employed?* Yes No Monthly Base Income Before Taxes $* Gross Monthly Income Monthly Average Overtime $ Estimated overtime if applicable Monthly Average Bonuses $ Estimated monthly bonuses if applicable Monthly Average Commission $ Estimated monthly commission if applicable Other Income Alimony, child support, or separate maintenance income need not be revealed if the applicant does not choose to have it considered for repaying the loan. Other Income Source Monthly Income $ Asset Details Please provide information about your asset accounts. These may include Checking, Savings, Money Markets, Retirement Accounts, etc. Account / Asset Type Please Select Checking Savings Money Markets Retirement Funds Other Cash Value $ Enter Another Account? Yes No Monthly Housing Expenses Please provide total housing expenses. Include expenses for the current residence only. Do you rent or own your home?* Rent Own Rent $* Declarations Are there any outstanding judgements against you?* Yes No Have you been declared bankruptcy within the past 7 years?* Yes No Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?* Yes No Are you a party to a lawsuit?* Yes No Have you been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement?* Yes No Are you presently delinquent or in default on any Federal debt or any other loans?* Yes No Are you obligated to pay alimony, child support, or separate maintenance?* Yes No Is any part of the down payment borrowed?* Yes No Are you a co-maker or endorser on a note?* Yes No Are you a U.S. citizen?* Yes No Are you a permanent resident alien?* Yes No Do you intend to occupy the property as your primary residence?* Yes No Information for Government Monitoring The following information 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. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below. Option I do not wish to furnish this information Sex* Male Female Ethnicity* Hispanic or Latino Not Hispanic or Latino Race* American Indian or Alaska Native Black or African American Native Hawaiian or Other Pacific Islander Asian White Co-Borrower Information Do you have a co-borrower?* Yes No A co-borrower is someone who, along with you, accepts responsibility for repaying the loan. Save and Continue Later Providing home mortgage loan services to South Carolina since 1993. NMLS# 268291 Upstate Mortgage 8 McKenna Commons Court Greenville, SC 29615 Phone: 864-232-3830 Toll Free: 800-774-4010 © 2021, All rights reserved. Upstate Mortgage // Design & Developed by Uncle Jake Media