HOME BASE MORTGAGE GROUP, LLC
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Ready to start on the path to home ownership? You're at the right place! Fill out the application below to find out what you qualify for. One of our trusted mortgage brokers will reach out to your shortly.
Start your application
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Indicates required field
Preferred Mortgage Broker
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Ian Bushover
Steve Knight
Kenny Demuth
Elliott Colby
Any
Name
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First
Last
Phone Number
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Email
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Birthday
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Address
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Line 1
Line 2
City
State
Zip Code
Country
How long have you lived here?
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Rent or Own
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Rent
Own
Social Security Number
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Loan type
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Conventional
FHA
USDA/RD
VA
Jumbo
Unknown
Is there a property you are interested in?
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I am interested in
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Single family
Condominium
Multi-Family
New Construction
Mobile Home
Commercial
Are there any outstanding judgements against you?
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Yes
No
Have you been declared bankrupt in the past 7 years?
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Yes
No
Have you had property foreclosed upon or given title or deed in leu thereof in the past 7 years?
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Yes
No
Are you party to a lawsuit?
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Yes
No
Have you been obligated on any loan resulted in foreclosure, transfer of title in leu in foreclosure, or judgement?
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Yes
No
Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation bond, or loan guarantee?
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Yes
No
Are you obligated to pay alimony, child support, or separate maintenance?
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Yes
No
Do you receive child alimony, child support, or separate maintenance?
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Is any part of the down payment borrowed?
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Yes
No
Are you a co-maker or endorser on a note?
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Yes
No
Are you a US citizen?
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Yes
No
Are you a permanent residential alien?
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Yes
No
Do you intend to occupy the property as your primary residence?
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Yes
No
Have you had ownership interest in a property in the last 3 years?
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Yes
No
Employer
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Position
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Employer Phone Number
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Length at Employer
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Address of Employer
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Line 1
Line 2
City
State
Zip Code
Country
Monthly income details
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Gross base income
Overtime
Bonuses
Commission
Other
Balance in checking and savings accounts
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Other asset accounts
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I am interested in
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Purchase
Refinance
Cash-out refinance
New Construction
Renovation
This will be my:
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Primary
Secondary
Investment
Loan Term
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30 years
25 years
20 years
15 years
Adjustable Rate Mortgage
Undetermined
Title will be held in what name(s)?
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Married or Status
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Married
Unmarried (single, divorced, widowed)
Number of dependents (if any)
*
Ethnicity
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I do not wish to furnish this information
Hispanic or Latino
Not Hispanic or Latino
Race
*
I do not wish furnish this information
White
Asian
Black or African American
American Indian or Alaskan Native
Native Hawaiian or other Pacific Islander
Gender
*
I do not wish to furnish this information
Male
Female
This application taken by
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Telephone
Internet
Mail
Face-to-face interview
Preferred Loan Officer?
*
Ian Bushover
Steve Knight
Any
Comment
*
Co-borrower information
Name
*
First
Last
Phone Number
*
Email
*
Birthday
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Rent or Own?
*
Rent
Own
Social Security Number
*
Loan Type
*
Conventional
FHA
USDA/RD
VA
Jumbo
Unknown
Is there a property address you are interested in?
*
I am interested in
*
Single family
Condominium
Multi-Family
New Construction
Mobile Home
Commercial
Employer
*
Position
*
Employer Phone
*
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
Monthly gross income
*
Gross base income
Overtime
Bonuses
Commission
Other
Balance in checking and savings accounts
*
Other asset accounts
*
I am interested in
*
Purchase
Refinance
Cash-out refinance
New Construction
Renovation
This will be my
*
Primary
Secondary
Investment
Loan term
*
30 years
25 years
20 years
15 years
Adjustable Rate Mortgage
Undetermined
Comment
*
Submit
Home base mortgage group
NMLS# 1621025
Copyright 2017
Home
Programs
Apply now
About US
Contact