Loan Details.

Tell us about the loan you're looking for. Takes about 10 minutes total.

🏠

Conventional

Fannie/Freddie

🏡

FHA

3.5% down

⭐

0% down · veterans

🌾

USDA

Rural · 0% down

Loan Information

Purpose *

Purchase

Refinance

Cash-Out Refi

Loan Amount *

Purchase Price / Property Value *

Estimated Credit Score

Preferred Loan Term

Borrower Information.

Your basic info — required for credit and identity verification.

Primary Borrower

First Name *

Middle Initial

Last Name *

Email *

Phone *

Date of Birth *

Social Security Number *

Marital Status

Citizenship

🔒 Your Social Security Number is encrypted before it touches our database. Only authorized personnel with a need-to-know (e.g. for credit pull) can decrypt it.

Current Address

Street Address *

City *

State *

ZIP *

Years at this Address

Current Housing

Co-Borrower

Will there be a co-borrower?

First Name

Last Name

Phone

Date of Birth

Social Security Number

Relationship to Primary

Employment & Income.

Used to verify you can afford the payment. Lenders typically want 2 years of stable employment.

Employment Status

W-2 Employed

Self-Employed

Retired

Not Employed

Employer Name

Job Title

Start Date

Years in this Line of Work

Monthly Base Income

Monthly Overtime

Monthly Bonus

Monthly Commission

Business Name

Business Type

Years in Business

Ownership %

Monthly Net Income

Enter your monthly retirement/pension/Social Security income in the "Monthly Base Income" field above.

Assets & Liabilities.

Where's your money, and what monthly payments do you have? Used to calculate DTI and verify reserves.

Liquid Assets

Checking Account Balance

Savings Account Balance

Retirement (401k / IRA)

Other Investments (stocks, etc.)

Gift Funds & Other Properties

Receiving Gift Funds?

Own other real estate?

Gift Amount

Donor Relationship

Monthly Debt Payments

Car Payment(s)

Student Loan(s)

Credit Card Min. Pmts

Personal Loan(s)

Alimony / Child Support

Other Debt

Subject Property.

Details about the property you're purchasing or refinancing.

Property Details

Property Address *

Property Type

Occupancy

Flood Zone?

Year Built

Square Footage

HOA & Real Estate Agent

HOA / Condo Fees?

Working with a Realtor?

Monthly HOA Fee

Agent Name & Brokerage

URLA Declarations.

Answer honestly — these are standard questions on every mortgage application (URLA Section VII).

Declarations

Government Monitoring (Optional)

Requested by the federal government to monitor compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information.

Ethnicity

Race

Sex

Review & Sign.

Quick review of your application, then electronically sign to submit.

Application Summary

E-Signature

By typing your full legal name below and checking the boxes, you electronically sign this application under the federal E-SIGN Act.

Signed on

I certify that all information provided in this application is true and complete to the best of my knowledge. I authorize Rate Edge AI (DBA of Reliant Home Loans LLC, NMLS #1945532) to verify any information herein and obtain a tri-merge credit report. I consent to use electronic records and signatures under the E-SIGN Act (15 USC §7001 et seq.). I understand I can request paper copies of disclosures at any time.

Application Submitted!

Thanks — your application is in. We've emailed you a secure document upload link so you can attach your supporting documents (pay stubs, W-2s, bank statements, etc.) on your own schedule. A loan officer will reach out within 1 business hour to discuss your file.

← Back to Home