Mortgage Application

Fax to:	,Wells Fargo Home Mortgage Consultant

About Me:
Name:
Date Of Birth:
SS#
Street Address:
City:
State:
Zip:
Home Phone:
Business Phone:
Current Employer:
Years At Current Employer:

About My Home Buying Plan ( if purchasing):
I am interested in buying:	Primary Residence
	A Second Home
	An Investment Property
I plan to buy or begin building in:	Within Three Months
	In Three To Six Months
	In Six Months To A Year
If You have been already house hunting, what is	a.) Estimated Purchase Price: $
	b.) Estimated Down Payment: $
	c.) Estimated Loan Amount: $

About My Home (If Refinancing):
Estimated Home Value:
Estimated Mortgage Balance:
Years Living In this Home:
Names On The Deed:

Authorization to Obtain Credit Report/Consent For Credit Check
I/we grant permission to Wells Fargo Home Mortgage to obtain my/our credit report. I/we understand that approval is subject to normal credit investigation and that a consumer credit report maybe requestedfrom one or more consumer reporting agencies. I/we understand that this is a request for information onlyand is not an application for a loan. Additional information will be required for me/us at such time as I/we decide to apply. Credit is subject to approval.
	Agree To Terms and Conditions
Borrowers Name:
Co-Borrower's Name: