Welcome to Mortgage Saver

ONLINE BORROWER ENROLLMENT

Privacy Protection: Mortgage Saver respects and values our clients privacy. Our Application Uses Secure Sockets Layer (SSL) which encrypts all of your private information as it travels over the internet. In addition, we store all of your information on secure servers.

Getting started is easy! Simply complete the information below and hit the submit button. We will contact you once we receive your application.

* Required field.

Borrower and Co-Borrower
Borrower First Name: *	Borrower Last Name:*	Borrower SSN: *

Co-Borrower First Name:	Co-Borrower Last Name:	Co-Borrower SSN:

Contact Information
Day Phone: *	Evening Phone: *	Fax:	Email: *

Property Address
Property Address:*	City:*	State:*	Zip Code:*

Lender Information
Lender Name:*		Phone:*

Address:*	City:*	State:*	Zip Code:*

Original Loan Amount:*	Loan Term:*	Interest Rate:*	Loan Type: *
		%
Monthly Payment:*	Loan Number:*	Loan Balance:*

Bank Information
Bank Name: *	Phone:*

Name on Account:*	Account Number:*	Routing Number:*	Account Type:*

Broker Information
Broker Code: (enter a broker code if any)

Payment Options
Current Monthly Payment: *		Additional Principal Payment (Optional): $
Monthly Impound Payment:
You may choose either a Bi-weekly Payment every other Friday or a Semi-Monthly Payment which is deducted on the 1st and the 16th
Bi-Weekly Payment		Semi-Monthly Payment (An additional 1/12 will be added to the total monthly payment)

Payment Calculations
Payment Amount:
Per debit transaction fee:
TOTAL DEBIT AMOUNT:
Payment Due Date:	(ex: 01/01/2003)

Setup Fee Payment Options
You may pay your $395 setup fee with your first debit or spread this out over the first three debits, or pay your fees upfront.
charge 395 over the first three debits ($135, $130, $130)
charge 395 on the first debit

By hitting the submit button below, you authorize Mortgage Saver to make automatic withdrawals from your account listed above every two weeks. If your payment date falls on a non-business day, the withdrawal will take place on the closest proceeding business day. Mortgage Saver will pay your mortgage payment via electronic transfer and apply all proceeds received from you to your lender.
I have reviewed the terms and conditions and I agree to them