HECM VGM Application | The Federal Savings Bank

We look forward to finding the best financing for your client!

Borrower First Name*

Borrower Last Name*

Borrower Age

Co-borrower First Name

Co-borrower Last Name

Co-borrower Age

Street Address 1

Street Address 2

City

State

Zip

Phone*

Does client currently own their home? Yes No

Explain job type and approximate cost*

Call referral partner prior to calling client? Yes No

VGM Member Referral Information

Referral First Name*

Referral Last Name*

Referral Company Name

Referral Phone*

Referral Email

VGM Member #

TFSB Banker