21St Mortgage Credit Application PDF Details

The 21st Mortgage Credit Application is a two-page document prepared by the Direct Lending Department of 21st Mortgage Corporation. Borrowers complete this form when applying for purchase or refinance financing on a mobile or manufactured home. Both the applicant and any co-applicant must provide information, as the lender evaluates the combined financial picture before making a credit decision.

Personal and Residential Information

The first section requests your full legal name, Social Security number, date of birth, and current address. You must also provide a five-year residential history, specifying whether each address was owned or rented and how long you lived there. Co-applicants provide the same details on the corresponding lines.

Employment and Income Details

Employment history covering a minimum of three years is required for each applicant. The form asks for your employer's name, address, type of business, your job title, the name of your supervisor, your date of hire, and your gross monthly salary. If you have other income from rental properties or self-employment, you list those amounts and their sources separately.

Financial Obligations and Credit History

This section covers your monthly debt payments, checking and savings account details, and any adverse credit events. If either applicant has experienced bankruptcy, foreclosure, or legal judgments, those must be disclosed. The form closes with a government monitoring section for fair lending compliance and a signature block authorizing 21st Mortgage to obtain your credit and employment records.

Borrowers preparing for manufactured home financing often use related documents alongside this application. A manufactured home appraisal form documents the property value, while a mobile home purchase agreement records the sale terms. If you need additional financing support, a mortgage assistance application or a general mortgage application form may also be useful.

QuestionAnswer
Form Name21St Mortgage Credit Application
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names21st mortgage online, 21st mortgage application, 21st mortgage form, application for prime mortgage loan

Form Preview Example

21st Mortgage Credit Application – Direct Lending Department

21st Mortgage NMLS No:

 

 

 

 

 

Date:

 

 

LO:

 

 

 

 

 

 

 

 

NMLS Unique Identifier:

 

 

 

 

 

 

 

 

INFORAMTION

 

(A) APPLICANT INFORMATION

 

 

 

 

(B) CO-APPLICANT

 

FULL NAME-Last, First, Middle

 

 

 

 

No. Dependents:

FULL NAME-Last, First, Middle

 

 

 

No. Dependents:

 

 

 

 

 

 

List ages:

 

 

 

 

 

List ages:

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY #

 

 

BIRTHDATE:

 

 

SOCIAL SECURITY #

 

 

 

BIRTHDATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARITAL STATUS

Married

 

Separated

Unmarried (Single, Divorced, Widowed)

MARITAL STATUS

Married

Separated

Unmarried (Single, Divorced, Widowed)

 

 

 

 

 

 

 

 

PRESENT STREET ADDRESS (5 Year Residence Required)

 

 

 

PRESENT STREET ADDRESS (5 Year Residence Required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY, STATE, ZIP CODE

 

 

 

 

COUNTY

 

CITY, STATE, ZIP CODE

 

 

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW LONG AT

 

 

 

 

HOME PHONE #

HOW LONG AT

 

 

 

HOME PHONE #

 

PRESENT ADDRESS:

 

 

 

 

 

 

PRESENT ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENTIAL STATUS?

Homeowner

Renter

Parents

Other

RESIDENTIAL STATUS?

Homeowner

Renter

Parents

Other

 

 

 

 

 

 

 

 

PREVIOUS ADDRESS (If less than 5 years at present)

 

How Long:

 

PREVIOUS ADDRESS (If less than 5 years at present)

 

How Long:

 

 

 

 

 

 

 

Applicant’s Employment (Minimum 3 year History)

 

Co-Applicant’s Employment (Minimum

3 year History)

 

EMPLOYER

 

 

 

 

PHONE

 

EMPLOYER

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER’S ADDRESS

 

 

 

 

TYPE OF BUSINESS

EMPLOYER’S ADDRESS

 

 

 

TYPE OF BUSINESS

 

 

 

 

 

 

 

 

SUPERVISOR

 

 

 

POSTION

 

 

SUPERVISOR

 

DATE EMPLOYED

POSTION

 

 

DATE EMPLOYED

 

GROSS SALARY/MTH

GROSS OTHER INCOME

SOURCE

GROSS SALARY/MTH

GROSS OTHER INCOME

SOURCE

PREVIOUS EMPLOYER

PHONE

PREVIOUS EMPLOYER

PHONE

CITY, STATE

POSITION

EMPLOYED FROM:

CITY, STATE

POSITION

EMPLOYED FROM:

CREDIT REFERENCES AND PAYMENT OBLIGATIONS

COMBINED PAYMENTS FOR ALIMONY

CHILD SUPPORT

CHILD CARE

 

 

 

 

 

 

 

HAVE EITHER OF YOU +$'A BANKRUPTCY, REPOSSESSION, OR JUD*EMENT IN THE LAST 10 YRS?

YES

NO

 

BANKRUPTCY COMMENTS

 

 

 

 

 

 

CHECKING ACCOUNT WITH

 

SAVINGS? TYPE

SAVINGS ACCT

401K

RETIREMENT PENSION

 

 

WITH:

 

 

 

 

 

 

 

 

 

 

 

LAST VEHICLE, TRUCK, OR MOBILE HOME FINANCED BY

 

YEAR MAKE

MODEL

 

MTHLY PMT

PRESENT BAL

 

 

APPLICANT’S RELATIVE

 

CO-APPLICANT’S RELATIVE

NEAREST REALTIVE NOT LIVING WITH YOU

 

HOME PHONE #

NEAREST REALTIVE NOT LIVING WITH YOU

HOME PHONE #

 

 

 

 

 

 

 

ADDRESS

 

RELATIONSHIP

 

ADDRESS

 

BUSINESS PHONE #

RELATIONSHIP

 

BUSINESS PHONE #

 

 

 

 

 

 

IN ADDITION TO YOUR MOBILE

HOME, WHAT ELSE DO YOU

WANT TO INCLUDE IN THIS LOAN?

 

 

 

Land

Home Improvements

Credit Card Consolidation

Home Owners Insurance

Other: _____________________________________

NOTICE

The Federal Equal Opportunity Credit Act prohibits creditors from discriminating on the basis of sex or martial status. The Federal Agency, which administers compliance with the law concerning this retailer, is the Federal Trade Commission, Washington, D.C. 20580.

VOLUNTARY INFORMATION FOR GOVERNMENT MONITORING PURPOSES

If you are applying to refinance a mobile home, which will secure credit and be occupied as your principle residence, the following information is requested by the Federal Government to monitor the creditor’s compliance with the anti-discrimination laws, including the Equal Opportunity Law. The law provides that a creditor may neither discriminate on the basis of this information nor on whether or not it is furnished. Furnishing all or any part of this information is optional. If you choose not to provide this information, the law requires the creditor to note your race or national origins and sex on the basis of visual observation or surname. If you do not wish to furnish any of the following information, please initial below.

APPLICANT

 

 

 

CO-APPLICANT

 

 

I do not wish to furnish this information (initials): ______

 

I do not wish to furnish this information (initials): ______

 

White

Black

American Indian or Alaskan Native

Hispanic

White

Black

American Indian or Alaskan Native

Hispanic

Asian or Pacific Islander

Other

 

 

Asian or Pacific Islander

Other

 

SEX:

Male

 

Female

 

SEX:

Male

 

Female

 

By signing below, you give you permission to any financial institution listed below to investigate your credit and employment history and you authorize release of all credit-related information to those institutions. You also agree to inquire about the status of you credit application by contacting the financial institutions named above and understand that this application may be withdrawn if you do not inquire about its status within 30 days of this notice.

___________________________________________

_________

_____________________________________________

_________

Applicant’s Signature

Date

Co-Applicant’s Signature

Date

LOAN SUBMISSION WORKSHEET – DIRECT LENDING DEPARTMENT

Lead Source:

 

 

 

 

Referred by:

 

 

 

Application Taker:

 

 

 

Originator:

 

 

Key #:

Customer Names:

 

 

 

Spoke w/:

Best time to call:

 

 

Year:

Width:

 

Length:

Mfgr:

Model:

 

 

NADA Base x130% =

 

 

 

 

 

 

 

 

 

 

 

REFINANCE LOAN INFORMATION

 

 

 

 

 

 

 

 

 

 

 

Original Sale Price of Home:

 

 

Amount Financed:

 

Estimated Payoff:

Where Purchased:

 

 

 

When Purchased:

 

 

 

Who lives in the home:

 

 

Original Investment:

 

 

 

Original Lienholder:

 

 

 

Current Lienholder:

 

 

 

Current Interest Rate:

Original Term:

months Remaining Term:

months

Monthly Pmt:

 

Is insurance included in the home payment?

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME PURCHASE INFORMATION

 

 

 

 

 

 

 

 

Who are you buying the home from?

 

Name:

 

 

 

 

 

 

 

 

City & State:

 

 

 

 

 

 

 

 

Salesman:

 

 

 

 

 

 

 

 

Phone: (

)

 

–

 

 

 

 

 

HOME LOCATION INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Where is the home currently located – or – Where will it be located?

 

 

 

 

 

 

 

 

 

 

 

Does the customer own the land?

Yes

No

 

Tax Appraisal Value:

 

 

 

 

 

 

 

 

Land Pmt/ Lot Rent:

per month

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

When was the land purchased?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the Land financed?

Yes, with mobile home

Yes, separate loan

No

 

 

 

 

 

 

 

 

Whose name(s) is/are on the customer’s deed?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What was the land purchase price?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Who is the lender for the land loan?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Will the customer consider a Land/Home combination?

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REQUESTED LOAN TERMS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home and Land Only

 

 

 

 

 

 

 

 

 

A. Purchase of Home

 

 

 

 

 

 

 

 

I. Consolidation Request(s)

 

 

 

 

B. Refinance Home

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

C. Land Purchase

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

D. Land Refinance

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

E. Land/Home Purchase

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

F. Land/Home Refinance

 

 

 

 

 

 

 

 

J. Cash Out Request

 

 

 

 

 

 

 

G. Improvement Request(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

K. Total Down Payment:

 

 

down pmt

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H. Move/Set-up Costs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Estimated Total Loan Amount (A-K):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Less

Down Pmt. & Fees)

 

Did you request Purchase Agreement or Installment Contract + 30 day written payoff?

Yes

No

 

 

 

In the spaces below, provide your credit manager with any additional information that will be helpful in understanding this transaction:

How to Edit 21St Mortgage Credit Application Online for Free

Before You Begin

Gather the following information before opening the form: Social Security numbers for you and any co-applicant, employer contact details and job titles covering the past three years, monthly income figures, bank account numbers, and your addresses for the past five years.

Step 1: Click the "Get Form Here" button to open the PDF in FormsPal's online editor.

Step 2: On the editing page you can type into the form fields, check boxes, add a signature, and clear any sections you do not need. The editor displays the form exactly as it will appear when printed.

Fields in the top section of the application ask for your employer's address, type of business, position, supervisor's name, start date, and gross monthly salary. Complete the matching fields for your co-applicant if applicable.

stage 1 to completing 21st mortgage online

The second portion of the form covers gross salary and other income sources for both the applicant and co-applicant.

step 2 to filling out 21st mortgage online

Step 3: Click "Done" when all required fields are complete. The editor generates a finished PDF file ready for download or printing.

Step 4: Save the completed application and keep a printed copy for your records. FormsPal does not store or share the information you enter.

If you are preparing for a manufactured home purchase or refinance, you may also want to complete a manufactured home appraisal form or a mobile home purchase agreement available on FormsPal.

Watch 21St Mortgage Credit Application Video Instruction

21St Mortgage Credit Application isn’t the one you’re looking for?

Related Documents

  • Credit Application Form

    "... Uc re 11 2010 page of universal credit applications real estate mp banks custom df ET xu care Wolters Kluwe financial services 20092010 universal credit applicant information type and purpose of credit. Application for individual ..."

  • Application Standby Letter Credit

    "... To hsbc Bank USA National Association Trade and Supply Chain Hanson Place 14th Floor Brooklyn NY 11217 No for bank use ..."

  • Bmw Credit Application

    "... Name of employer for bmw financial services Consumer Credit Application. Years of service in the occupation: yrs.mos. Address city.state.zip gross annually. Previous employer. Employer. Comments. Social Security Number last name, middle initial. jr. sr. date. ..."

  • Cookout Application Form

    "... Cookout does not discriminate against applicants for employment. ..."

Please rate 21St Mortgage Credit Application

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .