<< Home

Please complete the following information to the best of your ability. If you cannot complete one of the questions for whatever reason please move on to the questions you can answer, we will contact you if additional information is required. We appreciate your input at Trust Mortgage of Bemidji Inc.

You may submit this application electronically or you may print it out and submit it by fax to 218 444-2269. You may also submit this application over the phone by calling 218 444-5626. Or simply email us with your phone number and we'll call you. Please don't hesitate to contact us with any questions you may have. Thank you for choosing Trust Mortgage of Bemidji Inc.

Loan Purpose
Purchase
Refinance

Property Type
Primary Residence
Second Home
Investment Property (not owner-occupied)

Property Address
Street: 
City: 
State: 
Zip: 
  Borrower Co Borrower
Contact Information
Email Address (required)
Firstname, MI, Lastname
Home Telephone Number
Work Telephone Number
Fax Number
Street Address
City, State, Zipcode
Since Mo/Yr
Own Rent Own  Rent  
Birthday (mm/dd/yyyy)
Social Security Number
Number of Dependants
Marital Status
Previous Address
Previous Street Address
City, State, Zipcode
Own Rent Own  Rent
Present Employment
Present Employer
Address
City, State, Zipcode
Start Date
Gross Monthly Income
Title
Previous Employment
Previous Employer
Address
City, State, Zipcode
Dates Employed
Gross Monthly Income
Title
Other Income (if any)
Other Income Source
How Long Receiving
Monthly Amount
 
Other Income Source
How Long Receiving
Monthly Amount
Other Expenses
Monthly Child Support
Monthly Alimony
Asset Information
Bank or Institution Name
Checking Balance
Savings Balance
 
Bank or Institution Name
Checking Balance
Savings Balance
 
Bank or Institution Name
Checking Balance
Savings Balance
 
Bank or Institution Name  
Other Account Balance  
Type of Account  
 
Bank or Institution Name  
Other Account Balance  
Type of Account  
Debts
Type of Loan
Lender
Monthly Payment
Balance Owed
 
Type of Loan
Lender
Monthly Payment
Balance Owed
 
Type of Loan
Lender
Monthly Payment
Balance Owed
 
Type of Loan
Lender
Monthly Payment
Balance Owed
Vehicles Owned
Year Make Model $Value
Year Make Model $Value
Year Make Model $Value
Year Make Model $Value
Landlord Info (if any)
Landlord's Name
Landlord's Phone Number
Monthly Rental Payment
Real Estate Owned
Type of Property
Street Address
City, State, Zipcode
Lender
Monthly Payment
Balance Owed
Property Value
Rent Received Monthly (if any)
 
Type of Property
Street Address
City, State, Zipcode
Lender
Monthly Payment
Balance Owed
Property Value
Rent Received Monthly (if any)
For Refinancing Loans Only; Information on your Existing Mortgage
Type of Loan
FHA
VA
Conventional
 
Lender
Monthly Payment
Balance Owed
Property Value
Account Number
 
Loan Amount
Down Payment
from Savings
Sale of Other House
Gift
 
Loan Term
15 Year
30 Year
 
Loan Program
Fixed
Fixed Due In 5 Years
Fixed Due In 7 Years
Adjustable Yearly
Adjustable Yearly After 3 Years
Adjustable Yearly After 5 Years
Adjustable Yearly After 7 Years
Adjustable Yearly After 10 Years

Please click on "Submit this Application" below if you agree to the following:

I certify that the information I have provided is true and correct. I authorize Trust Mortgage Co., to verify any information included in this application or in other documents required to obtain the loan I am requesting. I also authorize any party named in this application to provide any and all information Trust Mortgage Co. may request, such as employment history, credit history, income and income tax returns, and bank, money market, and similar account balances.

I understand that Trust Mortgage Co. will incur time and expense on my behalf to process and approve my loan. Therefore, I agree that if I ask Trust Mortgage Co. to proceed with my loan after I indicate their program is what I want, and my loan gets final approval and is ready to close and I back out, change my mind, etc, I will be required to pay Trust Mortgage Co. for all of their expenses leading up to that point, but limited to a maximum of 1% of the loan amount.

I understand that I may submit my application to Trust Mortgage electronically by clicking "Submit This Application" below, or I may submit the application by fax or mail. If I choose to submit this application electronically, I acknowledge that, regardless of the fact that Netscape Navigator security features are available, Trust Mortgage Co. is unable to ensure that the data can not be intercepted by third parties. I agree that Trust Mortgage Co. will not be held liable should such interception occur. This is not an offer to lock and does not meet truth-in-lending requirments. A $500 aplication fee is required, but is only due if Trust Mortgage Co. accepts the loan and I decide to use them for my loan. Loans less than $100,000 may require additional fees. Rates are subject to change and depend on loan amount, appraised value, and length of lock. Truth-in-lending documents and good faith estimates will be furnished at application or upon request.