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Section A: Mortgage Lates
Within the last 24 months have you had any late payments on your mortgage?

If yes, continue, otherwise skip to section B.
Number of Mortgage Lates
Within the last 12 months Between 13 and 24 months ago
30-59 days late
30-59 days late
60-89 days late
60-89 days late
90+ days late
90+ days late
Are you currently late on your mortgages?
Section B: Consumer Loan Lates
Have you had any late payments on your credit cards, auto loans, student loans or any other consumer debts?

If yes continue, otherwise skip to section C.
Number of Consumer Lates
Within the last 12 months Between 13 and 24 months ago
30-59 days late
30-59 days late
60-89 days late
60-89 days late
90+ days late
90+ days late
Are you currently late on your consumer loan payments?
Section C: Collections, Charge offs, Judgments, Tax Lien
Do you have any collections, charge offs, judgments or tax liens?
Section D: Bankruptcies
Have you been bankrupt during the last 7 years?
Section E: Foreclosures
Have you had any foreclosures during the last 7 years?
Section F: Payment load
Do you have a lot of consumer debts, such as credit cards, auto loans, student loans, etc.?
Section G: Equity in your property
The value of my house is $
The total amount of loans on my house are $


Premier Nationwide Lending - 2745 Dallas Parkway Suite 410 - Plano, TX 75093
Office Phone: 469-246-1102 Fax: 469-246-1149 Cell Phone: 214-536-9173
NMLS: #208810 NTFN’s Corporate NMLS: #75333
:: Apply Now :: Pre-Qualify :: Loan Programs :: Purchasing :: Refinance :: Request Loan Status :: Calculators :: Loan Process :: FAQ :: Forms :: About Us :: Tell-A-Friend :: Marketplace :: Home ::

We lend in the following states: TX

COMPLAINTS REGARDING MORTGAGE BANKERS SHOULD BE SENT TO THE TEXAS DEPARTMENT OF SAVINGS AND MORTGAGE LENDING, 2601 NORTH LAMAR, SUITE 201, AUSTIN, TEXAS 78705. A TOLL-FREE CONSUMER HOTLINE IS AVAILABLE AT 1-877-276-5550.

THE DEPARTMENT MAINTAINS A RECOVERY FUND TO MAKE PAYMENTS OF CERTAIN ACTUAL OUT OF POCKET DAMAGES SUSTAINED BY BORROWERS CAUSED BY ACTS OF LICENSED RESIDENTIAL MORTGAGE LOAN ORIGINATORS. A WRITTEN APPLICATION FOR REIMBURSEMENT FROM THE RECOVERY FUND MUST BE FILED WITH AND INVESTIGATED BY THE DEPARTMENT PRIOR TO THE PAYMENT OF A CLAIM. FOR MORE INFORMATION ABOUT THE RECOVERY FUND, PLEASE CONSULT THE DEPARTMENT’S WEB SITE AT http://www.sml.texas.gov/.

REQUIRED Name and Address: NTFN, Inc. NMLS #75333 ~ 2745 Dallas Parkway, Suite 410, Plano, Texas 75093 (469) 246-1100



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