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? 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 #
Pay Structure
Salary
Hourly
Overtime
Comm
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 #
Pay Structure
Salary
Hourly
Overtime
Comm
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
Assets
Average Balance
Checking/Savings
Proceeds from Sale of Home
Equity in home
Stocks / Bonds / Retirement
Gift Funds
Other Assets
How many properties do you own? 
Debts & Obligations
Min. Monthly Payment
First Mortgage
Property Taxes / Insurance
Second Mortgage / Equity Line
Child Support / Alimony
Student Loans
Car Payment(s) Car 1  Car 2 
Credit Cards (combined)


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 from 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