Apply for Our Mortgage Loan

*Check appropriate box below to indicate the type of credit for which you are applying:

* Required Fields

Property Information and Purpose of Loan
Purpose of Loan
Borrower's Information
Marital Status
Income Information

Notice: Alimony, Child Support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.


If you answer "yes" to any questions 1-8, explain in box below.

A) Are there any outstanding judgments against you?

B) Have you been declared bankrupt within the last 7 years?

C) Are you a party to a lawsuit?

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

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

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

G) Is any part of the down payment borrowed?

H) Are you a co-maker or endorser on a note?

I) Are you a U.S. citizen?

J) Are you a permanent resident alien?

K) Do you intend to occupy the property as your primary residence? If yes, then complete question “L” below.

L) Have you had an ownership interest in your property in the last three years?

1) What type of property did you own-principal residence (PR), second home (SH), or investment property (IP)?

2) How did you hold title to the home solely by yourself (S), jointly with your spouse (SP), or jointly with another person?

Information for Government Monitoring Purposes

The following information is requested by the Federal Government for certain types of loans related a dwelling, in order to monitor the Lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information, nor on whether you choose to turnish it. However, if you choose not to furnish it, under Federal regulations this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)

Race/National Origin/Sex
There was an error submitting the form

Thank you for your application!

We will be in touch with you soon.

Pay bills with a keyboard...

Not your checkbook. We have Bill Pay so you don't have to. 

Time for a vacation?

Get the most out of life with Connection Bank's Recreational Loans