Are You currently on Active Duty:
  If YES, which Branch of the Military?:
  Please Enter Pay Items from Your LES:
  Monthly Base Pay: $
  BAH: $
  BAS: $
  Other/Special Duty: $
  If NO, Do You Have a DD214:
  Current Occupation:
  Years with Current Employer:
  Years in This Line of Work:
  Gross Annual Income: $
  Approximate Home Purchase Price: $
 
  Will You Have a Co-Borrower:
  If YES  
  Co-Borrower's Current Occupation:
  Years with current employer:
  Years in this line of work:
  Co-Borrower’s Gross Annual Income: $
Borrower’s First Name:
Last Name:
Address:
City:
State:
Zip:
Years at Current Address:
Own or Rent:
Date of Birth: - -
Social Security Number: - -
Phone Number: - -
Alternate Phone: - -
Email:
 
Co-Borrower’s First Name:
Last Name:
Date of Birth: - -
Social Security Number: - -
 
Borrower and/or Co-Borrower
Child / Spousal Support Paid: $
Child / Spousal Support Income:
(if you wish to use to help qualify)
$
Any Other Regular Income:
(social security, retirement etc.)
$
Have You Previously had a VA Home Loan?:
Are You Rated for Military Disability?:
When you press Submit below your information will be sent to a VA Loan Specialist with Home Lending Group, Inc. By pressing Submit below, you are authorizing Home Lending Group, Inc. to obtain a credit report for Borrower and Co-Borrower (as applicable). By pressing Submit below you certify that you have the proper authority and permission to grant Home Lending Group, Inc. authorization to obtain the credit report on Borrower and Co-Borrower (as applicable). By pressing Submit below you are authorizing a representative from the company to contact you by telephone and email.