4700 Duke Drive
Suite 135
Mason, OH 45040
Tel:513.453.8000
866.677.9040
Fax:513.671.1629
MB.803019.000
MB19626
Apply Online
Fill out the application below to initiate the loan process. After completion of the application please press Send Application
at the end of the form.
We will try to respond to you as soon as possible. The more information we have the better we can discuss
your specific options.
Loan Information
Loan Amount
*
Sales Price or Value of Home
*
Type of Loan
*
Purchase
Refinance
Second Mortgage
Occupancy Status
*
Primary Residence
Second Home
Investment Property
Property Type
*
Single Family
Townhouse
Multiple Family
Customer Information
Name
*
Email Address
*
Address
City
State
*
Zip Code
*
Home Phone
-
-
Work Phone
-
-
ext.
Credit and Income Information
How would you rate your credit?
*
Excellent
Good
Average
Fair
Poor
Employer
Years with company
Gross Monthly Income
Liquid Assets
(checking, savings, stocks, mutual funds, etc)
Retirement and 401k
Montly Auto Payments
Monthly Credit Card Debt
Other Monthly Debts
Property Information
Address
City
State
Zip Code
Condo Project
(if applicable)
If refinancing, please answer the following
Current Balance
Current Rate
Current Monthly Payment
(excluding taxes and insurance)
Annual Property Taxes
Annual Insurance
Do you currently have mortgage insurance?
No
Yes
Do you have a line of credit on the property?
No
Yes
If so, enter outstanding balance
If so, have you withdrawn from this account in the last 12 months?
No
Yes
Do you have a second mortgage on the property?
No
Yes
If so, enter outstanding balance
I want to
Keep this loan
Consolidate with first mortgage
Questions, Comments, and Details of your specific Loan Scenario
4700 Duke Drive