GIA Mortgage Corporation - Financing the American Dream  
home buttonabout us button products button testimonials button mortgage process button pre-qualified application button mortgage forms buton have you been told no button contact us button banner right edge
spacer gif
 
Rate APR Type
6.000% 6.208% 30 year fixed

5.500%

 5.839% 15 year fixed
4.625% 4.720% 3/1 ARM
Click for Today's Rates

Subscribe to GIA Rate Alert
 
Application Instructions:
  • Use this short form to Apply On-line.
  • Please fill out as much of this form as possible.
  • When finished click on the send button.
    NOTE: (By submitting the following, you grant us permission to obtain your credit report.)
  • A mortgage specialist will contact you. A phone number is required.

Credit History

Please check appropriate box:

 Excellent  Good  Fair  Poor

General Information

  Borrower Co-borrower

Full Name:

Address:

City, State, Zip

Home Phone:

Work Phone:

Social Security # :

E-mail          :

Loan Request

Amount Requested:

Type of loan:

   Debt Consolidation  Purchase  Refinance

Property Information

Estimated Present Value:

Type of Property:

 Primary Residence  2nd Home  Rental

Current Loan Information

Mortgage Balances Amount: Rate Payment:

First:

Second:

Other:

Current Employment Information

  Borrower Co-borrower
Are you Self Employed? Yes No Yes No
Gross Monthly Income
Time on Current Job: Yrs: Mos: Yrs: Mos:
How did you hear of Us?

Other information and comments:

Home • About Us • Products • Testimonials • Mortgage Process
Pre-Qualified Application • Mortgage Forms • Have You Been Told No • Contact Us

GIA Mortgage Corporation • 160 Doyle Road • Holden, Massachusetts 01520
phone 888-442-2274 • fax 508-852-4112
Massachusetts Brokers License # MB 0805 • ME Cert# CS04545 • NH Lic# 8523-MBR

GIA Massachusetts - GIA Mortgage Maine -GIA Mortgage New Hampshire - Relevant Links
©2001, Site by our web development partner, The Dave Lapierre Group