Mortgage Application

This online application is only available for residents of CA, DC, DE, FL, GA, IL, IN, KY, MD, MO, NC, NJ, OH, PA, SC, TN, TX, VA and WA. Licensing & Disclosures

Note: * means that your response is required in order to proceed.

Personal Information

First Name*

Last Name*

Email*

At Address Since*

Select Month and Year

Yes, please keep me informed via email of exclusive promotions, important updates, and money-saving financial tips from Mariner Finance and its affiliates.

Address*

City*

State*

ZIP*

5 Digit ZIP Code

Phone*

Example: xxx-xxx-xxxx

Other Phone

Example: xxx-xxx-xxxx

Phone Type

When is the best time to reach you?

Yes, I consent to receive calls and texts.

Social Security Number*

No Dashes or Spaces, Example: 123456789

Date of Birth*

Select Month, Day, and Year

Co-Applicant?

Did you receive and offer code?

Offer Code

I acknowledge that I have read and agree to the Terms and Conditions, Credit and Contact Authorization, E-Sign Consent and Disclosures and Privacy Statement (Required to proceed with electronic application).

Click to agree*

Click the Next button below to continue.

Employment and Asset Information

Note: * means that your response is required in order to proceed.

Employment Status*

Employer*

At Employer Since*

Select Month and Year

Work Phone*

Example: xxx-xxx-xxxx

Job Title*

Pay Period*

Gross Monthly Income* $

Enter Dollar Amount

Other Monthly Income †

Enter Dollar Amount

Previous Employer

Previous Work Phone

Example: xxx-xxx-xxxx

Previous Title / Occupation

Checking Account Balance* $

Savings Account Balance $

Retirement Account Balance $

Click the Next button below to continue.

† Alimony, Child Support, or Separate Maintenance Income is not required to be disclosed if you do not wish to have it considered as a basis for repaying this loan.

Co-Applicant Information

Co-Applicant First Name*

Co-Applicant Last Name*

Co-Applicant Social Security Number

Co-Applicant Date of Birth

Co-Applicant Email*

Co-Applicant's Address Same as Primary's Address?

Co-Applicant Address

Co-Applicant City

Co-Applicant State

Co-Applicant ZIP

Co-Applicant At Address Since*

Co-Applicant Less Than 3 Years at Current Address?

Co-Applicant - What Best Describes You?

Co-Applicant Monthly Payment $

Co-Applicant Current Mortgage Balance $

Co-Applicant Home Value $

Co-Applicant Phone*

When is the best time to contact you? (co-applicant)

Co-Applicant Other Phone

Co-Applicant Employment Status

Co-Applicant Employer

Co-Applicant Job Title

Co-Applicant At Employer Since

Co-Applicant Work Phone

Co-Applicant Pay Period

Co-Applicant Gross Monthly Income* $

Declarations

Note: * means that your response is required in order to proceed.

Are There any outstanding judgments against you?*

Have you been declared bankrupt within the past 7 years?*

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?*

Are you party to a lawsuit?*

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?*

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?*

†Are you obligated to pay alimony, child support, or separate maintenance?

Is any part of the down payment borrowed?*

Are you a co-maker or endorser on a note?*

Are you a U.S. citizen?*

Are you a permanent resident alien?*

Do you intend to occupy the property as your primary residence?*

† Alimony, Child Support, or Separate Maintenance Income is not required to be disclosed if you do not wish to have it considered as a basis for repaying this loan.

Loan Details and Additional Information

Note: * means that your response is required in order to proceed.

Is This Loan for Purchase or Refinance?*

Loan Type*

Loan Amount Requested*

Enter Dollar Amount

Loan Officer

Your loan officer's name if you have a preference.

What Best Describes You?*

If Homeowner - Your Home Value $

Monthly Payment* $

Enter Rent or Mortgage Dollar Amount

If Homeowner - Your Current Mortgage Balance $

Less Than 2 Years at Current Address?*

Previous Address (If Less Than 3 Years at Current Address)

City

State

ZIP

5 Digit ZIP Code

Years at Previous Address

Enter Number of Years

How Did You Hear About Us?*

Comments

Additional information that you would like to include with your application.

Progress

Personal Information

Employment and Asset Information

Co-Applicant Information

Declarations

Loan Details and Additional Information

Information for Government Monitoring Purposes