Please complete all fields below. It is important to take your time and be as accurate as possible. You are able to handwrite this information by printing forms that your loan officer sent you, however for faster processing please complete this online form. Please complete all steps below and notice that an * is a required/mandatory field, however we prefer each field be completed.


* = Required fields

Step 1 - Customer ID

For the fastest results, please enter the customer ID provided by your Loan Officer.
Customer ID (your unique string of numbers given to you by Low VA Rates.)
Type "New" if you have not been given a Customer ID

Do you have a Co-Borrower on this application? Yes No

Step 2 - Personal Information

Primary Borrower Information
Is your mailing address the same as the property address? Yes
* Do you currently own a home or rent?
What kind of loan do you currently have?
* Are you or your spouse a Veteran or serving in the military? Yes No
* * Number of dependents under 18 living with you?
Age of dependents under 18 living with you (separate ages with commas)
* * Marital Status
Spouse Name? (If Applicable)
* Primary Borrower First Name
Primary Borrower Middle Name
* Primary Borrower Last Name
* Primary Borrower Email
* Primary Borrower Date of Birth
mm / dd / yyyy
* Property Address Street
* Property Address City
* Property Address State
* Property Address Zip
Year Built
* Property Type
* * Do you pay Home Owner Association Dues? Yes No
Home Owner Association Company Name (If applicable)
Home Owner Association Phone # (If applicable)
* * Do you own additional properties Yes No

Housing History
How long have you lived at your current address?
(If less than 2 yrs at current address we need prior address info)
* Years
* Months

Mailing Information
Mailing Address Street-if different from property
Mailing Address City-if different from property
Mailing Address State-if different from property
Mailing Address Zip-if different from property
Primary borrower home phone
Primary borrower cell phone
* Years in schooling
Home owners insurance name
Home owners insurance policy number
Home owners insurance phone number
Home owners agent email if known
Flood insurance name
Flood insurance phone number

Co-Borrower Information
Co Borrower First Name-if applicable
Co Borrower Middle Name-If applicable
Co Borrower Last Name-if applicable
Co Borrower email - if applicable
Co Borrower Date of Birth-if applicable
mm / dd / yyyy
Co-Mailing Address Street-if different from property-if applicable
Co Mailing Address City-if different from property-if applicable
Co Mailing Address State-if different from property-if applicable
Co Mailing Address Zip-if different from property-if applicable
Co borrower home phone-if applicable
Co Primary borrower cell phone-if applicable
Co yrs in schooling
Co Marital Status
Next Step >

Step 3 - Employment Information

Are you currently employed?
Is the Co Borrower currently employed?
Next Step >

Step 4 - Veteran Affair Loan Information

* Is this application for a VA Loan? Yes No
Next Step >

Step 5 - Declarations

* Are there any outstanding judgments against you? Yes No
* Have you been declared bankrupt within the past 7 years? Yes No
* Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years? Yes No
* Are you party to a lawsuit? Yes No
* Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes No
* Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? Yes No
* Are you obligated to pay alimony, child support, or separate maintenance? Yes No
* Is any part of the down payment borrowed? Yes No
* Are you a co-maker or endorser on a note? Yes No
* Are you a U.S. citizen? Yes No
* Do you intend to occupy the property as your primary residence? Yes No

Co-borrower to complete the yes/no questions (if applicable)
Are there any outstanding judgments against you? Yes No
Have you been declared bankrupt within the past 7 years? Yes No
Have you had property foreclosed upon or given title or deed in lieu thereof in the past 7 years? Yes No
Are you party to a lawsuit? Yes No
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? Yes No
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee? Yes No
Are you obligated to pay alimony, child support, or separate maintenance? Yes No
Is any part of the down payment borrowed? Yes No
Are you a co-maker or endorser on a note? Yes No
Are you a U.S. citizen? Yes No
Do you intend to occupy the property as your primary residence? Yes No
 
 
Next Step >

Step 6 - Consent To Pull Credit

By checking this box each consumer applying for the loan is granting authorization to pull credit
Next Step >

Final Step

By consenting to receive information electronically at our web site, you grant us express permission to send you loan information and disclosures electronically.

You may still apply online without accepting these disclosures and information electronically. By completing the e-consent step below you are acknowledging that you agree with the Consent to Electronic Disclosures
I/We consent to receive information electronically on this website

Primary Borrower Information
Re-type Full Name
Re-type Email
Re-type Street Address
Re-type City
Re-Enter State
Re-type Zipcode

Co-Borrower Information
Re-type Co-Borrower Full Name
Re-type Co-Borrower Email
Re-type Co-Borrower Street Address
Re-type Co-Borrower City
Re-type Co-Borrower State
Re-type Co-Borrower Zipcode
Connection Secured

Attention Applicants

We need you to upload the following documents to us as soon as possible. Once you complete the application under my profile picture, please send me the following by using the contact form on this page:

  • Signed Authorization Form (download here)
  • Copy of your mortgage Note (example can be seen here). You would have received this at your last loan closing.
  • Copy of your home owners insurance declarations page. You may also just email me the contact number and name for your insurance agent.
  • Copy of each borrowers driver’s license. If your social security number is not listed on this ID then I will need your SS card(s)
  • Copy of your mortgage statement or online print out for the month. (Does not need to be the most recent, but that is preferred)
  • If a FL, NM, OH or TX property a copy of your property survey (example can be seen here). You would have received this at your last loan closing.