PREQUALIFY

Applying online is easy and secure with First Midwest Financial. Below is our Complete Application Form. This process should take about 15 minutes.

First Midwest Financial is pleased to present a secure website that allows you to feel comfortable about the information you're providing. You can call us at 1-888-569-1773 or email us at david.stricker@fmf-loans.com for questions or comments regarding our website.

  1. Have a loan officer contact you
  2. Download the application material now and mail or fax it to us.
  3. Call us at 812-246-LOAN (5626) and we'll take your application over the phone
  4. Come by and see us at 314-B Hunter Station Rd.,  Sellersburg, IN 47172 M-F 9am-6pm.

Type of Mortgage & Terms of Loan

Mortgage Amount:


Amortization Type:

  Fixed Rate
  ARM (enter type below)
  Other (please explain below)
Property Information & Purpose of Loan
Subject Property:
   
              
Purpose of Loan:
Purchase
Refinance
Construction
Construction Permanent
Other
Property Will Be:
 Primary Residence
Secondary Residence
Investment
Borrower Information
Borrower Co- Borrower
Borrower's Name:
Co-Borrower's Name:
Social Security Number:
 		Home Phone:

 		DOB:

 		Yrs. of School:
 		Social Security Number:
 		Home Phone:

 		DOB:

 		Yrs. of School:
Married Separated
Unmarried (includes single, divorced, widowed) 		Married Separated
Unmarried (includes single, divorced, widowed)
Present Address:
   
           
            		Present Address:
   
           
           
Monthly Income & Combined Housing Expense Information

Gross Monthly Income:
Borrower:

Co- Borrower:

Total:

Combined Mnthly Housing Expense (Present):

Assets & Liabilities
List Checking & Savings Accounts Below: List Liabilities/Outstanding Credit Below:
Banking Institution:
 Total Liabilities (credit card, auto, student loans, etc.):
Account No.
 		Liquid Assets/Down payment:
 		Total Monthly Payments:

 		# of Liabilities:
Information for Government Monitoring Purposes
Borrower: I do not wish to furnish this information. Co-Borrower: I do not wish to furnish this information.
Ethnicity: Hispanic or Latino Not Hispanic or Latino Ethnicity: Hispanic or Latino Not Hispanic or Latino
Race:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White 		Race:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Sex: Female Male Sex: Female Male
Call Us At 812-246-LOAN (5626) or visit us at 314-B Hunter Station Rd.,  Sellersburg, IN 47172 M-F 9am-6pm