Premier Mortgage Inc. An Affiliate of the
Bonadelle Development Corporation
Premier Mortgage Application
* = Required
Community
Home Design
Price Range
New Home Will Be
Estimated Down Payment
Community Representative
Date
If you own your current home will you:

Sell
Is it listed:
How much will you sell it for? Estimated Net Proceeds

Rent How much will you Rent it for? Current Value
Borrower Information
Primary Applicant
Name
Address
City
State
Zip
  
Social Security #
      
Date of Birth (mm/dd/yy)
   
Best Contact Phone #
      
Home Phone #
      
Email

US Citizen
Perm Resident
Non-Resident

Married
Unmarried


Own
Rent Monthly Payment  
How Long at Current Residence?
If less than 2 years - cover 2 year resident history
Joint Applicant
Relationship to Applicant
Name
Address
City
State
Zip
  
Social Security #
     
Date of Birth (mm/dd/yy)
   
Best Contact Phone #
      
Home Phone #
      
Email

US Citizen
Perm Resident
Non-Resident

Married
Unmarried


Own
Rent Monthly Payment  
How Long at Current Residence?
If less than 2 years - cover 2 year resident history
Current Employment History
Primary Applicant
Self Employed?
Yes
No
Present Employer’s Name
Monthly Gross Income Work Phone #
AGI(Line 37 of most recent tax return)
Pay Structure:
Salary
Hourly
Overtime
Commission
Occupation
How Long? Years Months

How long in the same line of work?

How Long? Years Months
Previous Employer
If less than 2 yrs - cover 2 yr employment history including dates
Joint Applicant
Self Employed?
Yes
No
Present Employer’s Name
Monthly Gross Income Work Phone #
AGI(Line 37 of most recent tax return)
Pay Structure:
Salary
Hourly
Overtime
Commission
Occupation
How Long? Years Months

How long in the same line of work?

How Long? Years Months
Previous Employer
If less than 2 yrs - cover 2 yr employment history including dates
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Once you have completed this application your information will be sent to Bonadelle Neighborhoods/Premier Mortgage Inc. By submitting your application, you are authorizing Bonadelle Neighborhoods/Premier Mortgage Inc. to obtain a credit report. All non-public information you provide will be protected and owned by Bonadelle Neighborhoods/Premier Mortgage Inc. A representative from the company may contact you by telephone or cell phone or email address. By submitting your application you are consenting to be contacted by the company.

NOTICE TO BORROWERS: This is notice to you as required by the Right to Financial Privacy Act of 1978 that HUD/FHA has a right of access to financial records held by financial institutions in connection with the consideration or administration of assistance to you. Financial records involving your transaction will be available to HUD/FHA without further notice or authorization but will not be disclosed or released by this institution to another Government Agency or Department without your consent except as required or permitted by law.

Bonadelle Neighborhoods/Premier Mortgage Inc. - CA Real Estate Broker #01200574   Equal Housing Lender