Southern Home Financial, Inc.

Instructions

Use this form to request mortgage information.
Please fill out as much of this form as possible.
When finished click on the send button.

A loan officer will contact you. A phone number is required.

QUICK APPLICATION

Purchase  Refinance  2nd Mortgage     Amount 

First Name:         
Last Name:          
Street Address1:    
Street Address2:    
City/Town:          
State:                    Zip: 
Area Code:               Phone(XXX-XXXX): 
Fax Area Code:           Fax #(XXX-XXXX): 
Email Address¹:      
Social Security #:  
Spouse SS #:        

Fair Market Value:     
1st Mortgage Balance:  
2nd Mortgage Balance:  

Credit History:        Excellent  Good  Fair  Poor

If Slow Credit Are Mtgs Current Now? Yes  No
How many times late in last 12 months: 

Self-Employed? Yes  No
Employer:     
How Long:     
Income:       
Income Type:  Salary  Commission

Spouse Self-Employed? Yes  No
Employer:     
How Long:     
Income:       
Income Type:  Salary  Commission

Any Additional Income:   
Own Other Property:      Yes  No


 2nd Home
 Rental


Comments

By clicking on the submit button, you agree to a credit check by the company listed below. This is in order to serve you better.

Southern Home Financial Inc.
2748 Watts Drive
Suite B
Kennesaw, Georgia 30144

Phone number-toll free - 1-888-557-67770
- Local - 770-792-6770
- Fax - 770-792-6775
e-mail: shf1998@aol.com

_____