Apply Online

You can use this form to apply online.  Simply fill out all the information and press "Submit Application" to  send it to us. The form runs through a secure server so your data is encrypted in transit. If you have any questions about any  aspect of prequalifying, email

Mandatory fields are marked in red - you will not be able to submit the form without filling these out.

Upon receipt of this application a Powerhouse Mortgage Professional will contact you to help facillitate your financial needs.

Click here to view our disclaimer.

General Information

Complete the following section if you are seeking financing for the purchase of a home.

Complete this section if you are looking to refinance or obtain additional financing on current home.


Personal Information

Primary Applicant
Please enter your name. Please enter your address.
Please enter a city. Please enter your Postal
Code .
We need a home phone number. We need a work phone number.
We need a valid email address.We need a valid email address.
Please use "MM/DD/YY" format
Secondary Applicant
Please use "MM/DD/YY" format


I/We warrant and confirm that the information given in this application form is true and correct and I/we understand that it is being used to determine my/our credit responsibility. You are authorized to obtain any information you may require relative to this application from any sources to which you may apply and each such source is hereby authorized to provide you with such information. You are furthermore authorized to disclose, in response to direct enquiries from any other lender or credit bureau, such information on my loaning account as you consider appropriate, and I agree to indemnify you against and save you harm from any and all claims in damages or otherwise arising from such disclosure on your part. You are also authorized to retain the application whether or not the relative mortgage is approved. Back to Top