Application

Please Choose your Mortgage Loan Consultant or Local Branch

Where did you hear about HNB Mortgage?

Would you like a complimentary insurance quote from our affiliate? yes |no
If yes, how would you prefer to be contacted?

*Asterisks indicate required information.

Personal

*Borrower*		*Co-Borrower*
*First Name:		First Name:
*Last Name:		Last Name:
*Birthdate:	month: day: year:	Birthdate:	month: day: year:
*SSN:		SSN:
*Education		Education
	# of years:		# of years:
Email:		Email:
*Home Phone:		Home Phone:
Cell Phone:		Cell Phone:
Marital Status:	Married Unmarried Separated Divorced	Marital Status:	Married Unmarried Separated Divorced
*Address*		*Address*
*Street:		Street:
*City:		City:
*State:		State:
*Zipcode:		Zipcode:
Rent \|Own How long? years: months:		Rent \|Own How long? years: months:

I DO NOT CHOOSE TO PROVIDE ANY ADDITIONAL INFORMATION

Address of Landlord or Mortgage Company		Address of Landlord or Mortgage Company
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Account #:		Account #:
*# of Dependents:* *Ages:*		*# of Dependents:* *Ages:*
Former Address if less than 2 years at present address		Former Address if less than 2 years at present address
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Rent \|Own How long? years: months:		Rent \|Own How long? years: months:
Address of Landlord or Mortgage Company		Address of Landlord or Mortgage Company
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Account #:		Account #:

Employment

*Borrower*		*Co-Borrower*
*Check if Self- Employed*		*Check if Self- Employed*
Present Employer:		Present Employer:
Company Name:		Company Name:
Position:		Position:
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Phone:		Phone:
Salary:		Salary:
Time on job:		Time on job:
Previous Employer (if less than 2 years):		Previous Employer (if less than 2 years):
Company Name:		Company Name:
Position:		Position:
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Phone:		Phone:
Salary:		Salary:
Time on job:		Time on job:

Other Income per Month:		Other Income per Month:
Describe other income: Notice; Alimony, child support, or separate maintenance income need not be revealed if the Borrower or 2nd Borrower does not choose to have it considered for repaying this loan.

Assets

Financial Institution:
*Address*	*Autos Owned:*
Street:	Year:	\| Make:
City:	Model:
State:	$ Value:
Zipcode:
Type of Account:	Year:	\| Make:
Balance:	Model:
Account Number:	$ Value:

Financial Institution:
*Address*	*Stocks, Bonds, Etc.*
Street:	Number of Shares:
City:	Description:
State:	$ Value:
Zipcode:
Type of Account:	Net Worth of Business Owned:
Balance:	$ Value of Furniture/Household Goods:
Account Number:	$ Value of Furniture/Household Goods:

	$ Life Insurance:
	$ Retirement Account:

	Other Assets:
	$ Value:

Other Real Estate Owned

*Property Address*
Street:		Loan Balance:
City:		Market Value:
State:		Monthly Payment:
Zipcode:		Lease Property?
		$ Rent Recieved:
*Lien holder*
Name:
Street:
City:
State:
Zipcode:
Loan Number:

Liabilities

Name:		Name:
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Account Number:		Account Number:
Balance:		Balance:
$ Payment Amount:		$ Payment Amount:

Name:		Name:
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Account Number:		Account Number:
Balance:		Balance:
$ Payment Amount:		$ Payment Amount:

Name:		Name:
Street:		Street:
City:		City:
State:		State:
Zipcode:		Zipcode:
Account Number:		Account Number:
Balance:		Balance:
$ Payment Amount:		$ Payment Amount:

Declarations

Are you obligated to pay alimony, child support, or separate maintenance?
Borrower	Yes No	Co-Borrower	Yes No
If "yes" please state monthly amount $

I authorize HNB Mortgage to pull my current credit report in order to obtain sufficient information
for the loan "pre-approval" process. YES | NO

Important Notice About Customer Information (click to read more)

The following additional documentation is also required in order to submit a
complete Loan Application for loan "Pre-approval" and loan processing.
Please forward these items by fax or by mail. See below for fax or mailing information.

1) The two most recent paycheck stubs for each borrower
2) W-2 forms for the last two years for each borrower
3) If you are self-employed, copies of your completed personal and business tax returns for the last two years, including all Schedules and K1’s, signed by both borrowers
4) Bank Statements for the last three months, for all checking,
5) Most recent 401k, IRA, SEP and/or other Retirement Statement

Additional Information or Comments:

Submit your online application via our Secure website
(please click only once)

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You may also fax or mail your application and the additional information listed above. Please make a note of the fax number and mailing address of the appropriate Branch or Mortgage Loan Consultant below:

Odessa & Big Spring, TX
Phone: 888-210-8932
432-263-6312
Fax: 432-263-6314
210 West Third
Big Spring, Texas 79720
Louis Dunnam

Midland, TX /
Permian Basin
Phone: 800-669-8223
432-683-0081
Fax: 432-687-2612
2101 Wadley, Suite 33
Midland, TX 79705
Suzanne Smith

Boerne, TX
Phone: 888-693-3373
830-693-3373
Fax: 830-693-6038
512-B Highway 281
Marble Falls, TX 78654
Suzanne Mayer
or
Rebecca Nicholson

Marble Falls /
Horseshoe Bay, TX
Phone: 888-693-3373
830-693-3373
Fax: 830-693-6038
512-B Highway 281
Marble Falls, TX 78654
Rebecca Nicholson
or
Suzanne Mayer