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Since you are serious and committed to purchase or refinance your home, the next step is to complete this short application and let us do the rest. The better quality of the information you can provide, the better we will be able to assist you.

Loan Information
Loan Purpose*
Purchase Price*
Estimated Value*
Loan Amount*
Purpose of Refinance
- Lower Rate
- Lower Payment
- Cash-Out
- Debt Consolidation
- Home Improvement
- Other
Application Information
Name*
FirstLast
Address*
Street AddressCityStateZip Code
Phone*
Best Time to Call
Email*
Employer
Self Employed
- No
- Yes
Annual Income
How long have you worked with your current employer?
Previous Employer
How long were you working with your previous employer?
Birth Date
MM
DD
YYYY
How did you find out about us?
Who can we thank for referring you to our team?
Comments
Will there be a co-applicant?*
- Yes
- No
Co-Applicant
Name*
FirstLast
Address*
Street AddressCityStateZip Code
Phone*
Best Time to Call
Email
Employer
Self Employed
- Yes
- No
Annual Income
How long has the co-borrower been working with their current employer?
Previous Employer
How long was the co-borrower working with their previous employer?
Birth Date
MM
DD
YYYY

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Brazos National Bank, Member FDIC | NMLS# 473879

Apply Online

Loan Information

Application Information

Co-Applicant

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