Overseas Properties

Name*: Current Address: Current State: Home Phone*: Date of Birth: (mm/dd/yyyy) Residency Status: US citizen Non-permanent resident alien Permanent resident alien Non-resident alien

Planned Address: Planned State:

Purpose of your loan: (Please select one) Purchase a property Rate and/or term refinance Cash out refinance Planned use of the property: (Please select one) Owner occupied - primary residence Second home Investment property Amount of money to borrow: (Must be 95% or less of the value of the property.)