VA Online Loan Application


Questions about Qualifying for a VA Loan?

Call Now: (866) 970-5773

Complete the following long-form loan application for Free Loan Pre-Qualification, Pre-Approval, or Loan Approval, should you already have property. All information is strictly confidential.

Or you may also use our short form VA loan request

Please provide the following so we may best serve you.

Following questions are to help us provide you the service you desire.

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Type of Loan request:
How should we communicate with you?
How did you find this site?
Have you applied with other lenders: 
Where in the "Purchase" or "Refinance" process?
If "Purchasing", are you working with a Realtor(s)?
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Type of Mortgage and Term of Loan

Following questions are to indicate what type of mortgage financing and estimate loan amount you wish to obtain.

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Loan Purpose:
Type of Mortgage Applied for:
Loan Amount Requested: $ - if unknown, simply leave blank.
Loan Term:
Loan Amortization Type:
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Subject Property Information

Following describes  property being purchased or refinanced - if unknown, enter TBD, City and State you are purchasing in.

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Property Street Address:
Property City:
Property State:
Property Zip
Type of Property:
Borrower  Information

Following are general questions regarding primary person obtaining the loan.

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Prefix
Name - First Last, i.e. "John Doe"
Street Address, No POB addresses
City
State
Zip Code
Own, Rent or Lease:
How long at this address? - enter "months" as 0.x
Current monthly Rent or payment: $
Work Phone Extension
Home Phone Answering Machine?
E-mail

Social Security Number
Birthday: -- mm/dd/yy
Marital Status:
Wedding Anniversary: -- mm/dd/yy
Which best represents your credit history?

Are you responsible for any of the following?

- or if applicable, the co-borrower

If Yes, amount of monthly payment: $

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Borrower Employment & Income Information

Following are questions regarding borrowers current employment and income

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Company
Your Job Title
Work E-mail
Length of time employed at this job: - enter "months" as 0.x
How often are you paid
How are you paid:
What is your rate of pay: $
Gross Year to Date Income on your Paystub: $
YTD as of what Date: -- mm/dd/yy
Your Last Years Gross Income: $

If no other Borrower(s) continue to next section by clicking > HERE

Co-Borrower Information

Following are general backround questions regarding the co-borrower - if no other borrowers, click here

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Prefix
First name
Last name
Street address
City
State
Zip Code
Work Phone Extension
Home Phone Answering Machine?
E-mail
Co-Borrower Social Security Number:
Co-Borrower Birthday: -- mm/dd/yy
Co-Borrower Marital Status:
Own, Rent or Lease:
How long at this address?   - enter "months" as 0.x
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Co-Borrower Employment & Income Information

Following are questions regarding co-borrowers current employment and income

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Company
Your Job Title
Work E-mail
Length of time employed at this job: - enter "months" as 0.x
How often are you paid:
How are you paid:
What is your rate of pay: $
Gross Year to Date Income on current Paystub $
YTD as of what Date:   -- mm/dd/yy
Last Years Gross Income: $
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Asset Information

Following are banking and asset questions for borrower and co-borrower. Please indicate total amount of funds, including retirement, 401k, stocks, etc. If more than three accounts, combine and total. If receiving a "Gift" please indicate amount.

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Name of Bank or Instuition:
Account Type:
Current Balance: $
Name of Bank or Instuition:
Account Type:
Current Balance: $
Name of Bank or Instuition:
Account Type:
Current Balance: $
Year & Type of Auto(s) Owned?
Year & Type of Auto(s) Owned?

If you do not own real estate continue to next section by clicking > HERE

Schedule of Real Estate Owned

Following questions applicable only if you currently are refinancing or own a other real estate , if not continue by clicking here
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Type of Real Estate Owned: 
Current status of this property is: - if current residence skip next two questions.
Address of Real Estate Owned: 
City, State, Zip of Real Estate:
Present Value of Real Estate owned: $  Amount of Current Mortgage(s) on Real Estate: $
Current First Mortgage Principal & Interest Payment: $ at a current interest rate of:%
Current Second Principal & Interest Payment, if applicable: $ at a current interest rate of: %
Cost of Yearly Homeowners Insurance Policy: $  and Annual Property Tax Amount: $
Homeowners Association Dues, if applicable $
if Rental, amount of Monthly Rental Income: $
Following are final Government required questions and the final submission buttom.
Declarations Borrower Co-Borrower

Have you declared bankruptcy?

If you answered Yes,  date of final discharge?

-- mm/dd/yy - mm/dd/yy

Have you had property foreclosed upon?

If Yes, what was finalization date?

- mm/dd/yy -- mm/dd/yy
For Federal Government purpose of lenders compliance home mortgage disclosure laws, please select one of the following?

I / (We) acknowledge the aforementioned is true and accurate to the best of my/(our) knowledge and submission of this application is deemed authorization, acknowledgement and acceptance of Disclosure Forms. Yes No Yes No
Comments, Questions, Requests, or Notes:

Please Press only once and allow up to 30 seconds for your request to be processed.

The remitter of this online application specifically acknowledge(s) and agree(s) that (1) the loan requested by this application will be secured by a first mortgage or dead of trust on the property described herein; (2) the property will not be used for any illegal or prohibited purpose or me; (3) all statements made in this application are made for the purpose of obtaining the loan indicated herein; (4) occupation of the property will be as indicated above; (5) verification or reverification of any information contained in the application may be made at any time by the Lender,  its agents, successors and assigns, either directly or through a credit reporting agency, from any source named in this application, and the original copy of this application will be retained by the Lender, even if the loan is not approved; (6) the Lender, its agents, successors and assigns will rely on the information contained in the application and I /We have a continuing obligation to amend and/or supplement the information provided in this application it any of the material facts which I / We have represented herein should change prior to closing; (7) in the went my/our payments on the loan indicated this application become delinquent, the Lender, its agents, succession; and assigns, my, in addition to a I their other rights and remedies, report my/our name(s) and account information to a credit reporting agency; (8) ownership of the ban may be transferred to successor or assign of the Lender without notice to me and/or the administration of the loan account may be transferred to an agent, successor or assign of the Lender with prior notice to me; (9) the Lender, its agents, successors and assigns make no representations or warranties. express or implied. to the Borrower(s) regarding the property, the condition of the property, or the value of the Property.

Right to Receive Copy of appraisal.
I / We have the right to a copy of the appraisal re rt used in connection with this application for credit To obtain a copy, I / We must send Lender a written request at the mailing address Lender has provided. Lender must hear from me/us no later than 90 days after Lender notifies me/us about the action taken on this application, or I / We withdraw this application. If an appraisal was ordered in order to finalize our loan request, we acknowledge that we are finacially responsible for the fee's incurred to obtain appraisal.

Certification I / We certify that the information provided in this application is true and correct as of the date set forth opposite my/our signature(s) on this application and acknowledge my/our understanding that any intentional or negligent misrepresentation(s) of the information contained in this application my result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under Title 18, United States Code. Section 1001, at seg. and liability for monetary damages to:the Lender. its agents, successors and assigns, insurers and any other person who may suffer any loss due to reliance upon any misrepresentation which I / We have made on this application.
By utilizing the services offered by VA-Home-Loans.com, you consent to the collection of any data and use of this information by VA-Home-Loans.com & First Security Funding. VA-Home-Loans.com / First Security Funding, 17870 Casteleton St, Suite 345, City of Industry, CA 91748.