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Get started in the loan process by completing our short loan application.    NMLS #518136
Personal Information
*First Name:
*Last Name:
*Email:
Home Phone:
( ) -
Cell Phone:
( ) -
Marital Status:
Date of Birth:
 (mm/dd/yyyy)
Social Security or Tax ID #:
- -
*Loan Officer:
 
Current Address
Street Address:
City:
State:
Zip:
-
Years at this Address:
 Years     Months
Rent or Own:
 
Subject Property
Purpose of Loan:
Please Specify  
Property Usage:
Loan Amount:
$
Purchase Price:
$  
*Number of Units:
 
*Year Built:
Subject Property Address:
 
City:
State:
We only accept applications for the states listed.
Zip:
-
 
Monthly Income
Submitting income from alimony, child support, or separate maintenance income is optional if you do not want to use that income for qualification purposes.
Base Income:
$
Bonuses:
$
Commission:
$
Other Income:
$
 
Assets
Checking:
$
Savings:
$
Retirement Funds:
$
Mutual Funds:
$
Other:
$
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Co-Borrower
Do you have a co-borrower?  
* = Required

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First Liberty Financial Mortgage a Division of ETFCU
9520 Ormsby Station Road Suite 20, Louisville, KY  40223
Toll Free:  (888) 915-6267
customerservice@firstliberty.net
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