PremierBank is based in Fort Atkinson, Wisconsin and has physical locations in Jefferson, Rock, and Walworth Counties focusing on lending to people in the south central Wisconsin area.
Mortgage Loan Application Purpose of the Loan Will this application be completed individually or jointly?
Property Information Is this a pre-qualification? If this is a pre-qualification request, please select “Yes” and go directly to the Borrower Information section. If your request is not a pre-qualification, please select “No” and complete the Property Information below.
Property Address
Is this a refinance transaction?
If this is a refinance transaction, please complete the following Improvements APPLICANT(S)
Check one of the following boxes. You may apply for separate credit in your name only, joint credit in your and the name of your spouse, or joint credit in your name and the name(s) of other joint applicant(s). Note: Separate credit and joint credit may also be marital purpose debt under Wisconsin Law.
Select One:(Required)
Borrower Information Address
Have you lived here for less than two years? Do you rent or own? Address
Is your mailing address different than your home address? Address
Borrower Dependents
Borrower Employment Employer Address
Have you worked here for less than two years? Start Date End Date
Borrower Gross Monthly Income (Assets)
Gross Monthly Income (Assets)
Borrower Current Monthly Housing Expenses
Borrower - List Checking & Savings Account Information Below
Borrower - Account #2
Borrower Account #3
Borrower Real Estate Owned Property Address
Borrower Additional Assets
Borrower Automobiles
Borrower Other Assets
Borrower Current Monthly Payments: (Liabilities)
Co-Borrower Information Address
Have you lived here for less than two years? Do you rent or own? Address
Co-Borrower Dependents
Co-Borrower Employment Employer Address
Have you worked here for less than two years? Start Date End Date
Co-Borrower Gross Monthly Income (Assets)
Co-Borrower Current Monthly Housing Expenses
Co-Borrower - List Checking & Savings Account Information Below
Borrower - Account #2
Co-Borrower Account #3
Co-Borrower Real Estate Owned Property Address
Co-Borrower Additional Assets
Co-Borrower Automobiles
Co-Borrower Other Assets
Co-Borrower Current Monthly Payments: (Liabilities)
Declarations Borrower - A. Will you occupy the property as your primary residence? Co-Borrower - A. Will you occupy the property as your primary residence? Borrower - B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property? Co-Borrower - B. If this is a Purchase Transaction: Do you have a family relationship or business affiliation with the seller of the property? Borrower - C. Are you borrowing any money for this real estate transaction <em>(e.g. money for your closing costs or down payment)</em> or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application? Co-Borrower - C. Are you borrowing any money for this real estate transaction <em>(e.g. money for your closing costs or down payment)</em> or obtaining any money from another party, such as the seller or realtor, that you have not disclosed on this loan application? Borrower - D (1). Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on the loan application? Co-Borrower - D (1). Have you or will you be applying for a mortgage loan on another property (not the property securing this loan) on or before closing this transaction that is not disclosed on the loan application? Borrower - D (2). Have you or will you be applying for any new credit <em>(e.g. installment loan, credit card, etc.)</em> on or before closing this loan that is not disclosed on this application? Co-Borrower - D (2). Have you or will you be applying for any new credit <em>(e.g. installment loan, credit card, etc.)</em> on or before closing this loan that is not disclosed on this application? Borrower - E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes <em>(e.g. the Property Assessed Clean Energy Program)</em>? Co-Borrower - E. Will this property be subject to a lien that could take priority over the first mortgage lien, such as a clean energy lien paid through your property taxes <em>(e.g. the Property Assessed Clean Energy Program)</em>? Borrower - F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? Co-Borrower - F. Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? Borrower - G. Are there any outstanding judgements against you? Co-Borrower - G. Are there any outstanding judgements against you? Borrower - H. Are you currently delinquent or in default on a Federal debt? Co-Borrower - H. Are you currently delinquent or in default on a Federal debt? Borrower - I. Are you a party to a lawsuit in which you potentially have any personal financial liability? Co-Borrower - I. Are you a party to a lawsuit in which you potentially have any personal financial liability? Borrower - J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years? Co-Borrower - J. Have you conveyed title to any property in lieu of foreclosure in the past 7 years? Borrower - K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due? Co-Borrower - K. Within the past 7 years, have you completed a pre-foreclosure sale or short sale, whereby the property was sold to a third party and the Lender agreed to accept less than the outstanding mortgage balance due? Borrower - L. Have you had a property foreclosed upon in the last 7 years? Co-Borrower - L. Have you had a property foreclosed upon in the last 7 years? Borrower - M. Have you declared bankruptcy within the past 7 years? Co-Borrower - M. Have you declared bankruptcy within the past 7 years? Identify type(s) of bankruptcy: Borrower
Borrower - Ethnicity: Check one or more Borrower - Race: Check one or more Borrower - Sex Co-Borrower
Co-Borrower - Ethnicity: Check one or more Co-Borrower - Race: Check one or more Co-Borrower - Sex Privacy Policy Information(Required) You must choose one of the following options
FDIC-Insured - Backed by the full faith and credit of the U.S. Government