Get your AMERA Online Express! AMERA offers an innovative way of processing your mortgage application right at your fingertips. While other lenders take between four and six weeks to make a loan decision, we can issue you an approval in 24 hours. The AMERA Online Express application is subject to confirmation of the truth and accuracy of the application, a valid purchase agreement and an acceptable appraisal under the program selected, and adequate funds to close, including applicable closing costs and down payment. Please take a few minutes to fill out the application, and a customer representative will contact you within twenty-four hours of submission*. About Yourself Full Name E-mail Social Security # Age Address City State Zip Day Phone - Evening Phone - Marital Status Select Married Unmarried Separated Self Employed Select Yes No Yrs with employer Employer Address City State Zip Your Financial Info Gross monthly income $ Current monthly housing expense (include rent/mortgage, insurance, taxes, and association dues) $ Total liquid assets $ Monthly child support/alimony/separate maintenance $ All other monthly liabilities $ Your Approval Your marking of this box indicates your approval and authorization for AMERA Mortgage Corporation to order a credit report through a credit reporting agency and to verify or re-verify any information as may be needed to process this request. Co-Borrower (if applicable) Full Name E-mail Social Security # Age Address City State Zip Day Phone - Evening Phone - Marital Status Select Married Unmarried Separated Self Employed Select Yes No Yrs with employer Employer Address City State Zip Co-Borrower Financial Info Gross monthly income $ Current monthly housing expense (include rent/mortgage, insurance, taxes, and association dues) $ Total liquid assets $ Monthly child support/alimony/separate maintenance $ All other monthly liabilities $ Co-Borrower Approval Your marking of this box indicates your approval and authorization for AMERA Mortgage Corporation to order a credit report through a credit reporting agency and to verify or re-verify any information as may be needed to process this request. I / We would like to be contacted by: Select Phone Email Are you looking to purchase a new home or refinance your current home? Select Purchase New Home Refinance Current Home If you are purchasing a home, what state are you purchasing in? Questions or comments: How did you hear about AMERA Mortgage Corporation? Select Direct Mail Telemarketing Press Release Print Advertisement Word of Mouth Past Customer Web Surfing Web Ad Other If you found AMERA Mortgage Corporation on the internet, what web site, search engine, directory, etc. brought you to our site? *Hours of operation for AMERA Mortgage Corporation are 8:30 a.m. - 5:00 p.m. Monday-Friday. All applications submitted after hours will be handled the next working business day.

	1050 Corporate Office Drive, Suite 200 Milford, Michigan 48381 Phone (248) 685-1700 Toll Free (800) 968-1624 Fax (248) 685-1755 E-mail: amerahq@ameramortgage.com
	Copyright 1999 - , AMERA Mortgage Corporation Graphics and content are owned exclusively by AMERA Mortgage Corporation and may not be copied and/or reproduced in any way without written permission. Any person / company that copies graphics or information from this site for use on another web site or other materials will be subject to legal action for copyright infringement.