Secure Application

* = required information

Loan Type: Purchase    Refinance
Purchase Address***:
City:     State***: Kentucky     Zip Code:

Sales Price: $ Down Payment Amount: $
Down Payment Source:

***At present, Lexington Mortgage Company handles loans only for property located in Kentucky.


Borrower 1

First Name*: Last Name*:
Present Address*:
City*:     State: Zip Code*:
Years at Present Address*: Payments: $ Own Rent
Date of Birth*: / / (mm/dd/yyyy)    Social Security #*:
Employer*:    Position*:
Hire Date*: / / (mm/dd/yyyy)    Estimated Income*: $
Home Phone*: () Work Phone: () Cell Phone: ()
Previous Employment: (if less than 2 years at current employer)


Borrower 2

First Name: Last Name:
Date of Birth: / / (mm/dd/yyyy)    Social Security #:
Employer:    Position:
Hire Date: / / (mm/dd/yyyy)    Estimated Income: $
Work Phone: () Cell Phone: ()
Previous Employment: (if less than 2 years at current employer)


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