RE/MAX Carriage Realty - full-service real estate company located in Henderson, North Carolina

Capital Mortgage Finance Corporation
George Heaton - Mortgage Loan Officer
gheaton@cmfloans.com
www.cmfloans.com
866-572-5800 or 252-425-5566

SHORT APPLICATION FORM
* Required
Purpose of Loan:*
Property Value:*	$
Loan Program:*
Loan amount you are applying for:*	$	or % Down payment
Will there be a co-borrower applying with you?* Yes No

Where is the property located?
Street Address:*		Property type:*

City:* State:* Zip:*		Property will be:*


Personal Information
	Primary Borrower	Co-Borrower
First Name:*
Middle Name:
Last Name:*
E-mail address:*
Current Address
Street Address:
City, State, Zip:
Contact me at:*	Home Work Cell Phone	Home Work Cell Phone
Home phone number:*	- -	- -
Work phone number:	- -	- -
Cell phone number:	- -	- -
Fax number:	- -	- -
Best time to call:
My/Our credit history is:*	Excellent OK, but some problems Major credit problems Don't know
Questions/Comments:


* By submitting this online application I/we authorize this mortgage company to check my credit, employment history and other information stated on this application.