Get Started

Thank you for your interest in Countrywide Home Loans. Please fill out the loan request form below so that we can get started on your loan. You may also print out our Standard Application form and mail or fax it to the address/fax number on your left (note: requires Adobe Acrobat Reader).

For our home purchase customers, we have also included a link to the booklet from the U.S. Department of Housing and Urban Development (HUD), you can review and print the pdf file or go to HUD's web site.

*Indicates required field. ** At least one phone number is required.
Contact Information
First Name*	MI	Last Name*
Mailing Address*         (please do not use special characters such as #$%^&)
City*	State*	Zip*
Daytime Phone**	Evening Phone**
Email Address	I will be using this home as*
What type of loan are you interested in?*	Are you eligible for a VA loan?*
	yes no
Borrower	Co-Borrower
Total Annual Income*	Total Annual Income
Total Other Income (Annual)	Total Other Income (Annual)
Total Monthly Debts*	Total Monthly Debts
Additional Information
Cash to Close (Checking, Savings, Other)*	Do you currently have a home loan with Countrywide?*
	yes no
Anticipated Loan Amount*	Do you have a sales contract?
	yes no
Anticipated Closing Date?*	Are you working with a Realtor®?
	yes no
Number of points you are willing to pay:	Name of Realtor® you are working with:
How did you hear about this site?	Phone Number of Realtor®
Priority Special Offer Code
Comments: