The First State Bank - Friendliest Bank Anywhere

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Mortgage Loans

Mortgage Loans

It's Safe, Secure, and Easy.

For quick pre-qualification, please complete and submit the form below. Upon receipt of the completed form, our mortgage staff will review your qualifications and you will be contacted by an FSB loan officer to discuss results. Response times may vary depending on volume, but we will make every effort to contact you within 24 hours.

Please note that completion of this form does not constitute a loan application as defined by the Real Estate Settlement Procedures Act or the Truth in Lending Act. Further information and documentation will be required in order to secure approval for a mortgage loan.

This form uses 256 bit SSL encryption, ensuring that no one else will see your personal information while it is in transit. Please view our Privacy Policy for more information.

Borrower Information

  • OK Name is required
  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Business Phone

    - -
    Optional OK Business Phone is required
  • Mobile Phone

    - -
    Optional OK Mobile Phone is required
  • OK E-mail is required
  • OK Employer is required
  • OK Years on Job is required
  • OK Years in Profession is required
  • OK Position is required
  • OK Best Method/time to contact you is required

Borrower Income Information

  • OK Gross Monthly Income is required
  • OK Other Income (Please Describe) is required
  • OK TOTAL is required

Co-Borrower

  • Will there be a Co-Borrower?

    OK Will there be a Co-Borrower? is required

Co-Borrower Personal Information

  • OK First Name is required
  • OK Last Name is required
  • OK Residential Address (Not a P.O. Box) is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • Date of Birth

    OK Date of Birth is required
  • Home Phone

    - -
    OK Home Phone is required
  • Business Phone

    - -
    Optional OK Business Phone is required
  • Mobile Phone

    - -
    Optional OK Mobile Phone is required
  • OK E-Mail is required
  • OK Employer is required
  • OK Years on Job is required
  • OK Years in Profession is required
  • OK Position is required
  • OK Best Method/time to contact you is required

Source of Funds for Down Payment/Closing Costs:

  • OK Checking/Savings is required
  • OK IRA/401K is required
  • OK Securities is required
  • OK TOTAL is required

Monthly Payments

  • OK Credit Cards is required
  • OK Loans is required
  • OK Child Support is required
  • OK Alimony is required
  • OK Other is required

Current Monthly Housing Expense

  • OK Current Monthly Housing Expense is required

Security Code

  • OK Security Code is required
  • In completing this form, I give my consent for The First State Bank, Louise to obtain a credit report in my name for the purpose of determining my qualification for a mortgage loan. I understand that the completion of this form does not constitute a loan application as defined by Regulation Z.