Gerard and Associates Inc.

Mortgage Management Company

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APPLICATION

Home Loan/Refinancing Application
Gerard and Associates Inc.
416 Beford Avenue
Mount Vernon, New York  10553
(914) 473-4648

Please fill out this quick and easy application to get a free quote or call us at (914) 473-4648.  Remember at Gerard and Associates we make the mortgage and refinancing process easy and stress free!!

Applicant Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Co-Applicant Information
First Name:
Last Name:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Financial Information
Loan Type:
Loan Amount: (USD)
Property Information
Property Type:
Occupancy:
Purchase Price: (USD)
Appraised Value: (USD)
Mortgage Balance: (USD if applicable)
Other Information
Comments:
I authorize Gerard and Associates Inc. to verify
my credit and employment history.

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