508.699.8624      
Licensed in Mass and Rhode Island.  FHA, VA Approved    


Please fill and submit this questionnaire and one of our Mortgage Planning Specialists will contact you to discuss your situation.
Borrower's Questionnaire

 
Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Co-Applicant Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Financial Information
Loan Type:
Loan Amount: (USD)
Property Information
Property Type:
Occupancy:
Purchase Price: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
Comments:
I authorize Constitution Trust Mortgage, LLC to verify
my credit and employment history.

51 Man Mar Drive; Suite 3; Plainville, MA 02762
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