Home Loan Request Form

Please take a moment to fill out the form below and a representative from MilWay Credit Union will contact you shortly. Thank you!
First Name *
Last Name *
We need your permission to contact you via telephone and/or email regarding this request. *

Yes, you have my permission.
Best Phone Number *

Area Code Phone Number
Your E-mail Address *

Address *

What type of Home Loan are you interested in? *

New Mortgage Refinance Home Equity
Years you’ve lived at current address *
Price you paid for home *
Current Value of Home (last appraisal, tax value, etc.) *
If existing mortgage, current balance
Is this your primary residence? *

Yes No
If existing mortgage, what is your current payment?
If refinance, what rate you are currently paying?
Federally insured by NCUA.
Should be Empty: