Home » Mortgage Application Form Mortgage Application Form Updated on 2019-01-23 | Written by AgentImage Required fields are marked with * OwnRent Gross monthly income from primary employment Other income Do you have a co-borrower? YesNo If yes then same info as above for co-borrower. Who referred you to BenchMark Mortgage? Are you working with a real estate agent? YesNo If yes, then we need a space to put their name and company Have you found a home you wish to purchase? YesNo What is your timeframe for purchasing a home?