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David Valdez
907-459-0391
542 4th Ave
Fairbanks, AK 99701
 

Online Application
Thank you for filling out our online application. We will be contacting you shortly.

BORROWER INFORMATION

First Name *
 Last Name *
Contact Phone *
 E-Mail Address *
Social Security No. *
Street Address *
City *
 State *
 ZIP *
EMPLOYMENT AND INCOME INFORMATION
Gross Monthly Income
Income
 Base Employment Income   
 Overtime   
 Bonus   
 Commissions   
 Dividends/Interest   
 Net Rental Income   
 Total   
Liabilities
Monthly Payment
 Credit Card   
 Credit Card (2)   
 Credit Cart (3)   
 Credit Card (4)   
 Automobile Loan   
 Automobile Loan (2)   
 Child Support/Alimony   
 Other   
 Other (2)   
 Total   
Balance Due
 Credit Card   
 Credit Card (2)   
 Credit Card (3)   
 Credit Card (4)   
 Automobile Loan   
 Automobile Loan (2)   
 Child Support/Alimony   
 Other   
 Other (2)   
 Total   
ADDITIONAL INFORMATION
Have you ever been in any branch of the armed services?
Yes    No   
If so, did you enter the service prior to January 1, 1977?
Yes    No   
Have you been discharged for 30 years?
Yes    No   
Have you owned a home that was your primary residence in the last 3 years?
Yes    No   
Please select which down payment percentage you would prefer.
(Veterans may be eligible for zero down payment on loans up to $203,000.)
3%    5%    10%    20%   

 

If there will not be a co-borrower on this loan, scroll to the bottom of the page and click submit. If there will be a co-borrower, please fill out the following information.

CO-BORROWER INFORMATION
First Name
 Last Name
Contact Phone
 E-Mail Address
Social Security No.
Street Address
City
 State
 ZIP
EMPLOYMENT AND INCOME INFORMATION
Gross Monthly Income
Income
 Base Employment Income   
 Overtime   
 Bonus   
 Commissions   
 Dividends/Interest   
 Net Rental Income   
 Total   
Liabilities
Monthly Payment
 Credit Card   
 Credit Card (2)   
 Credit Cart (3)   
 Credit Card (4)   
 Automobile Loan   
 Automobile Loan (2)   
 Child Support/Alimony   
 Other   
 Other (2)   
 Total   
Balance Due
 Credit Card   
 Credit Card (2)   
 Credit Card (3)   
 Credit Card (4)   
 Automobile Loan   
 Automobile Loan (2)   
 Child Support/Alimony   
 Other   
 Other (2)   
 Total   
ADDITIONAL INFORMATION
Have you ever been in any branch of the armed services?
Yes    No   
If so, did you enter the service prior to January 1, 1977?
Yes    No   
Have you been discharged for 30 years?
Yes    No   
Have you owned a home that was your primary residence in the last 3 years?
Yes    No   
Please select which down payment percentage you would prefer.
(Veterans may be eligible for zero down payment on loans up to $203,000.)
3%    5%    10%    20%   

How did you hear about us?

* Required to submit this form





Family Mortgage, LLC
907-459-0391






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