Secure Quick Loan Application

The first step is to complete our simple and secure 5-minute applicaiton . When we receive your application, one of our Mortgage Consultants will contact you to personally discuss your particular needs, concerns and circumstances. If you'd prefer, you can also download our 1003 PDF form, print and fax or mail it to us.

Borrower Name:
E-mail:
Home Phone:
Work Phone:
Current Address:
Address 2:
City:
State:
Zip:
If you have lived at your current address for less than two years, please enter your previous address below, otherwise continue to the next section.
Previous Address:
Address 2:
City:
State:
Zip:

Co-Borrower Information

Do you have a co-borrower?

Yes No

If you have a co-borrower, please enter their information below.
Co-Borrower Name:
E-mail:
Home Phone:
Work Phone:
Social Security Number:
Current Address:
Address 2:
City:
State:
Zip:
If the co-borrower has lived at their current address for less than two years, please enter their previous address below, otherwise continue to the next section.
Previous Address:
Address 2:
City:
State:
Zip:

Two-Year Employment History

Please list every employer for the past two years.
Employer:
Title:
Employment Length:
Self Employed?
Current Income:

Add Another Employer

Do you have any other sources of income?	Yes No
If so, what?

Additional Information

Rent or Own:	Rent Own
Monthly Housing Expense:
Have you ever filed for bankruptcy?	Yes No
If so, when?

I/We authorize Langdon Mortgage Company, Inc. to request my credit history.
Borrower Full name:
Co-Borrower Full Name:
Select a Loan Officer:

Langdon Mortage
is licensed by the State of Indiana

Langdon Mortgage Company, Inc. is a proud member of the National Association of Mortgage Brokers, Indiana Association of Mortgage Brokers, Indianapolis Chamber of Commerce, Metropolitan Indianapolis Board of Realtor®s and the Builders Association of Greater Indianapolis.

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Employer #2:
Title:
Employment Length:
Self Employed?
Current Income:

Employer #3:
Title:
Employment Length:
Self Employed?
Current Income:

Employer #4:
Title:
Employment Length:
Self Employed?
Current Income:

Secure Quick Loan Application

Co-Borrower Information

Two-Year Employment History

Additional Information

FHASecure Loan Quick Facts