Contact Information

*Name

*Phone Number

*Email

Residency Information

*Current Address

*Occupancy

*Years Living At This Address

*Property Monthly ExpensesEx: Mortgage, Taxes, Insurance, Condo, Rent, Etc.

Income Information

*Are You Self-Employed?

Yes

*Gross Monthly Income

Employer or Business Name

*Employer Address

Position or Title

*Employment duration in this line of work

Assets Information

*Bank / Institution

Bank / Institution

*Cash or Market Value

Cash or Market Value

Declarations

*Are you legaly married?

Yes

*Do you have a VISA to enter the United States?

Yes

*Do you have a social security number (SSN) or an idividual tax ID number (ITIN)?

Yes

*Do you currently own real estate property in United Stated?

Yes

*Are there any outstanding judgments against you?

Yes

*Are you currently delinquent on any financial debt?

Yes

*Are you a party to a lawsuit in which you potentially have any personal financial liability?

Yes

Disclosures

By submitting your application, I authorized Bluevella Mortgage, LLC, to order a consumer credit report and obtain and verify information regarding your personal and financial background. This credit check will be performed with one or more credit bureaus, and the report we receive includes, but is not limited to, your marital status, number of dependents, current and past employers, current deposit accounts, current and past consumer credit accounts, and your mortgage and/or rental history. There may be a cost associated with the performance of this credit check. You further authorize us to verify your past and present employment earnings records, bank accounts, stock holdings, any asset balances and any other information deemed necessary to process your mortgage loan application. The information received will only be used to process your application for a mortgage loan. This consent will be valid for a period of 180 days from the date hereof.

By creating an account or submitting a loan application you agree to our Terms of Use and our Privacy Policy. You also expressly consent to participate in the transaction electronically, including the use of electronic records and signatures, rather than submitting and receiving documents in paper form. You acknowledge that you are not required to create an account or apply for a loan through our platform, and that you agree to conduct the transaction electronically as a convenience to you and the other parties involved.