LOAN:   Purchase Price/Value:  $_______________   Amount:  $_____________ Type:  Fixed      ARM

Loan Term Years:  _________  Who referred you to Mackinac? _____________________________________

 Purchase or  Refinance    Property:  Cooperative    Condo   1-Family    2-4 Family    Land

BORROWER INFORMATION: 

Full Name _________________________________________  Social Security Number __________________

Current Home Address________________________________________  Date of Birth ______/_____/______

City _______________________________________         State _________            Zip __________________

How long have you lived at this address? ____________________________           Do you  own or  rent?

Home Phone #  _________________________                             Work Phone #  _______________________

Cell Phone #  ___________________________                             Email ______________________________

If you currently rent an apartment or home, what is your monthly payment?  $__________________________

 EMPLOYMENT INFORMATION

Current Employer _____________________________________         Are you self-employed?   Yes   No

Employer Address _____________________________________        Phone Number ___________________

City _____________________________   State _________    Zip __________  Start Date _______________

Your Title _______________________________________________________  Year in this line of work ____

Please describe your compensation (hourly, salary, bonuses, commissions, etc.)

Hourly $____________/hour      You work _______hours per week

Salary $____________/year       Commission $________________         Terms ________________________

Bonuses $_____________  Terms______________  Other Income Source (SS, Child Support) $___________

Please list previous and/or secondary employment (we need two years total)

Employer _____________________________ Previous    Secondary     Self-Employed?   Yes   No

Employer Address_____________________________________________  Phone Number ______________

City __________________________________________  State _________  Zip ______________

Your title or job description _____________________________________  Years in this line of work  _______

What was your start date ?__________________________  End date? _______________________________

Hourly $____________/hour      You work _______hours per week

Salary $____________/year       Commission $________________         Terms ________________________

Bonuses $_____________  Terms____________________________________________________________

CO-BORROWER INFORMATION (if applicable)

Full Name _________________________________________  Social Security Number __________________

Current Home Address________________________________________  Date of Birth ______/_____/______

City _______________________________________         State _________            Zip __________________

How long have you lived at this address? ____________________________           Do you  own or  rent?

Home Phone #  _________________________                             Work Phone #  _______________________

Cell Phone #  ___________________________                             Email ______________________________

If you currently rent an apartment or home, what is your monthly payment?  $__________________________

 EMPLOYMENT INFORMATION

Current Employer _____________________________________         Are you self-employed?   Yes    No

Employer Address _____________________________________        Phone Number ___________________

City _____________________________   State _________    Zip __________  Start Date _______________

Your Title _______________________________________________________  Year in this line of work ____

Please describe your compensation (hourly, salary, bonuses, commissions, etc.)

Hourly $____________/hour      You work _______hours per week

Salary $____________/year       Commission $________________         Terms ________________________

Bonuses $_____________  Terms______________  Other Income Source (SS, Child Support) $___________

Please list previous and/or secondary employment (we need two years total)

Employer _____________________________ Previous     Secondary     Self-Employed?  Yes  No

Employer Address_____________________________________________  Phone Number ______________

City __________________________________________  State _________  Zip ______________

Your title or job description _____________________________________  Years in this line of work  _______

What was your start date ?__________________________  End date? _______________________________

Hourly $____________/hour      You work _______hours per week

Salary $____________/year       Commission $________________         Terms ________________________

Bonuses $_____________  Terms___________________________________________________________

LIQUID ASSETS

Checking Account Approx Balance $______________  Bank____________________  Borrower   Co-Bor

Savings Account Approx Balance   $______________  Bank____________________  Borrower   Co-Bor

Retirement Account (401K, etc.)     $______________  Bank____________________  Borrower   Co-Bor

Other:  Describe_____________    $______________  Bank____________________  Borrower   Co-Bor

Other:  Describe_____________    $______________  Bank____________________  Borrower   Co-Bor

Other:  Describe_____________    $______________  Bank____________________  Borrower   Co-Bor

REAL ESTATE OWNED

If you own your own home, what is the approximate current value? $_________________________________

What year did you buy the home? ________________  What was the approx. purchase price $____________

Are the insurance and property taxes escrowed as part of your monthly payment?   Yes   No

If you own a vacation or second home, what is the approximate current value?  $________________________

What year did you buy the home? ______________  What was the approx. purchase price $______________

Are the insurance and property taxes escrowed as part of your monthly payment?   Yes   No

What is the address?_______________________________________________________________________

If you own an investment property, what is the approximate current value? $___________________________

What year did you buy the property? ______________  What was the approx. purchase price?  $___________

What is the address?_______________________________________________________________________

*If you own other properties, please provide a detailed schedule of real estate owned with this application.

OTHER IMPORTANT INFORMATION       

What is the year, make and model of your car(s)?  Make_____________ Model_____________  Year_______

                                                                                  Make_____________ Model_____________  Year_______

How is your credit history?  Excellent   Good   Average   Challenged    I have no credit history

Do any of these apply to you?  Bankruptcy   Judgments    Tax Lien   Divorce   Child Support

Date:________________________

Borrower:_____________________________           Co-Borrower:_________________________________