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American Mobile Home Finance

A Division of Millennium Mortgage Corporation
1020 Windy Hill Road, Norristown, PA 19403 - Tel: 610-631-1600 toll Free 800-563-3549 Fax 610-631-1300

Complete the application below. You will be able to save your progress at any time. If you do, you will be emailed a link to return and continue the application progress.

New or Used?(Required)

New

Used

In-park or Private Rental Land?(Required)

In-Park

Private Rental Land

Purchase Price(Required)

Down Payment(Required)

10%

15%

20%

Other

If "other" what %?

Finance Amount(Required)

Home Model/Year:

Manufacturer:

Home Length & Width:

Lot Rent:

Street Address of Manufactured Home(Required)

Street Address Address Line 2 City State ZIP Code

Park Name:

Seller/Realtor:

Property will be(Required)

Primary Residence

Non-Primary Residence / Seasonal

Investment/Rental

Purpose of the Loan(Required)

Purchase home only

Purchase home and land

(A) Applicant

Co-Applicant Information will be below Applicant's information if necessary.

Full Name - Last, First, Middle:(Required)

Last First Middle

Birth Date:(Required)

Month

Day

Year

Social Security #:(Required)

Are you a U.S. Citizen?(Required)

Yes

Marital Status(Required)

Married

Unmarried

Seperated

# of Dependents:

Ages:

Applicant's Email Address(Required)

(A) Applicant's Residence

Current Street Address:(Required)

2 Years of Residence Required, attach supplement if needed.

Street Address Address Line 2 City State ZIP Code

Upload Supplement if Necessary

Drop files here or

Max. file size: 2 GB.

Phone(Required)

Mo. Mrtg/Rent:

How long have you been at current address?(Required)

Mailing Address if different from Physical:

Status at Address(Required)

Homeowner

Renter

Parent

Other

Name of Mortgage Holder or Landlord:

Telephone number:

If Homeowner, what do you intend to do with the existing home?

Previous Address: (If current address is less than 2 years)

Street Address Address Line 2 City State ZIP Code

How long were you at the previous address?

Name of Nearest Relative NOT living with you:

Phone:

Is there a Co-Applicant?(Required)

Yes

If there is a Co-Applicant, you will be able to provide information in each section by choosing "yes".

(B) Co-Applicant

Full Name - Last, First, Middle:(Required)

Last First Middle

Co-Applicant's Email Address(Required)

Birth Date:(Required)

Month

Day

Year

Social Security #:(Required)

Are you a U.S. Citizen?(Required)

Yes

Marital Status(Required)

Married

Unmarried

Seperated

# of Dependents:

Ages:

(B) Co-Applicant's Residence

Co Applicant's Current Street Address:(Required)

2 Years of Residence Required, attach supplement if needed.

Street Address Address Line 2 City State ZIP Code

Upload Supplement if Necessary

Drop files here or

Max. file size: 2 GB.

Mailing Address if different from Physical:

Phone(Required)

How long have you been at current address?(Required)

Status at Address(Required)

Homeowner

Renter

Living with Parent(s)

Other

Mo. Mrtg/Rent:

Name of Mortgage Holder or Landlord:

Telephone number:

If Homeowner, what do you intend to do with the existing home?

Previous Address: (If current address is less than 2 years)

Street Address Address Line 2 City State ZIP Code

How long were you at the previous address?

Name of Nearest Relative NOT living with you:

Phone:

(A) Applicant's Employment History: (Minimum three years, attach supplement if needed)

Employment Status(Required)

Employed

Retired

Current Employer:(Required)

Position Held:(Required)

Self Employed(Required)

Yes

Date Started:(Required)

Month

Day

Year

Supervisor Name and Telephone number:

City, State:(Required)

What is your Gross (before taxes) base pay rate excluding commission, bonuses, and overtime:(Required)

Pay Period(Required)

Weekly

Bi-Weekly

Monthly

Do you receive bonuses/commission?(Required)

Yes

How Often?(Required)

How much over the past 12 months $?(Required)

Do you consistently receive overtime?(Required)

Yes

How Often?(Required)

How much in overtime over the last 12 months $?(Required)

Have you worked at your current employer for 3 or more years?(Required)

Yes

2 - Second or Previous Employer:(Required)

Position Held:(Required)

Self Employed?(Required)

Yes

Date Started:(Required)

Month

Day

Year

Date Left:(Required)

Month

Day

Year

Income:(Required)

City, State:(Required)

Supervisor Name and Telephone Number:

Please provide an explanation for any job gaps greater than 30 days.

Attach Supplement if necessary:

Drop files here or

Max. file size: 2 GB.

(B) Co-Applicant's Employment History: (Minimum three years, attach supplement if needed)

Co-Applicant Employment Status(Required)

Employed

Retired

Current Employer:(Required)

Position Held:(Required)

Self Empolyed?(Required)

Yes

Date Started:(Required)

Month

Day

Year

Supervisor Name and Telephone number:

City, State(Required)

What is your Gross (before taxes) base pay rate excluding commission, bonuses, and overtime:(Required)

Pay Period(Required)

Weekly

Bi-Weekly

Monthly

Do you receive bonuses/commission?(Required)

Yes

How Often?

How much over the past 12 months $?

Do you consistently receive overtime?(Required)

Yes

How Often?

How much in overtime over the last 12 months $?

Have you worked at your current employer for 3 or more years?(Required)

Yes

2 - Second or Previous Employer:(Required)

Position Held:(Required)

Self Empolyed(Required)

Yes

Date Started:(Required)

Month

Day

Year

Date Left:(Required)

Month

Day

Year

Income:(Required)

City, State:(Required)

Supervisor Name and Telephone Number:

Please provide an explanation for any job gaps greater than 30 days.

Attach Supplement if necessary:

Drop files here or

Max. file size: 2 GB.

(A) Applicant's Other Income

Income from SSI, retirement, disability, alimony, child support or separate maintenance agreement need not be disclosed if you do not wish to have it considered as a basis for undertaking or repaying this debt.

Net Social Security income (Monthly)

Net Pension Income (Monthly)

Child Support Monthly Amount

Ages of Children:

Alimony or Separate Maintenance:

Duration:

How Long?

Monthly Ammount:

Other Source:

(B) Co-Applicant's Other Income

Net Social Security income (Monthly)

Net Pension Income (Monthly)

Child Support Monthly Amount

Ages of Children:

Alimony or Separate Maintenance:

Duration:

How Long?

Monthly Ammount:

Other Source:

(A) Applicant's Debts / Obligations

Auto Lienholder:

Monthly Payment

Alimony / Maintenance: $

Expiration Date:

Month

Day

Year

(B) Co-Applicant's Debts / Obligations

Auto Lienholder:

Monthly Payment

Alimony / Maintenance: $

Expiration Date:

Month

Day

Year

(A) Applicant's Asset and Credit information

Applicant Bank Name:

City, State

Account Type:

Balance: $

(B) Co-Applicant's Asset and Credit information

Applicant Bank Name:

City, State

Account Type:

Balance: $

Questions for Applicant

If the answer is "Yes" on any of the questions below (1-3), explain in the explanation box that will appear.

Are you a co-maker or guarantor on a note?

Yes

To Whom?(Required)

Please explain here:

#2 Have you had any judgments, repossessions, garnishments filed against you in the past 7 yrs?(Required)

Yes

Please explain here:

#3 Have you declared bankruptcy within the last 10 years? If yes, when did you file?(Required)

Yes

Please explain here:

Questions for (B) Co-Applicant

If the answer is "Yes" on any of the questions below (1-3), explain in the explanation box that will appear.

#1 Are you a co-maker or guarantor on a note?(Required)

Yes

To Whom?(Required)

Please explain here:

#2 Have you had any judgments, repossessions, garnishments filed against you in the past 7 yrs?(Required)

Yes

Please explain here:

#3 Have you declared bankruptcy within the last 10 years? If yes, when did you file?(Required)

Yes

Please explain here:

CERTIFICATION AND SIGNATURES

I (we) certify that the information stated is complete and accurate, and has been furnished by me (us) knowing that you intend to rely on it in considering my (our) application. I (we) understand that you may request a consumer report in connection with this application and for the purpose of updating, renewing or extending further credit, and, if I (we) ask, I (we) will be informed whether or not such a report was requested (and, if so, the name and address of the consumer reporting agency that furnished the report). I (we) agree that this application remains the property of American Mobile Home Finance whether or not a loan is granted. I (we) also authorize you to check my (our) employment/income history and to exchange account and credit information about me (us) with anyone you may ask. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. When you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying information. It is a crime to intentionally falsify information on this application. Joint Intent: For applications with more than one applicant, by signing below the Applicant and Co-Applicant each agree the intent is to apply for joint credit.

Applicant Signature(Required)

Co-Applicant Signature(Required)

DEMOGRAPHIC INFORMATION OF APPLICANT AND CO-APPLICANT

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, race, and sex) in order tomonitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for “Ethnicity” and one or more designations for “Race.” The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to provide some or all of this information, please check below.

(A) Applicant

Ethnicity: – Check one or more(Required)

Hispanic or Latino

Mexican

Puerto Rican

Cuban

Other Hispanic or Latino – Print origin, for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on:

Not Hispanic or Latino

I do not wish to provide this information

Details

Race: - Check one or more(Required)

American Indian or Alaska Native – Print name of enrolled ☐ American Indian or Alaska Native – Print name of enrolled or principal tribe:

Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian – Print race, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on

Black or African American

Native Hawaiian or Other Pacific Islander

White

I do not wish to provide this information

Details

Sex(Required)

Male

Female

I do not wish to provide this information

(B) Co-Applicant

Ethnicity: – Check one or more(Required)

Hispanic or Latino

Mexican

Puerto Rican

Cuban

Other Hispanic or Latino – Print origin, for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on:

Not Hispanic or Latino

I do not wish to provide this information

Details

Race: - Check one or more(Required)

American Indian or Alaska Native – Enter name of enrolled or principal tribe:

Asian

Asian Indian

Chinese

Filipino

Japanese

Korean

Vietnamese

Other Asian – Print race, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on

Black or African American

Native Hawaiian or Other Pacific Islander

White

I do not wish to provide this information

Details

Sex(Required)

Female

Male

I do not wish to provide this information

Selling Price$	Down Payment$
Interest Rate%	Years
Monthly Payment$	Change any combination of fields to calculate.

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American Mobile Home Finance

(A) Applicant

(A) Applicant's Residence

(B) Co-Applicant

(B) Co-Applicant's Residence

(A) Applicant's Employment History: (Minimum three years, attach supplement if needed)

(B) Co-Applicant's Employment History: (Minimum three years, attach supplement if needed)

(A) Applicant's Other Income

(B) Co-Applicant's Other Income

(A) Applicant's Debts / Obligations

(B) Co-Applicant's Debts / Obligations

(A) Applicant's Asset and Credit information

(B) Co-Applicant's Asset and Credit information

Questions for Applicant

Questions for (B) Co-Applicant

CERTIFICATION AND SIGNATURES

DEMOGRAPHIC INFORMATION OF APPLICANT AND CO-APPLICANT

(A) Applicant

(B) Co-Applicant