Home » Mortgage Application Form Mortgage Application Form Updated on 2019-07-18 | Written by AgentImage Required fields are marked with * OwnRent Date of birth* Gross monthly income from primary employment Other income Do you have a co-borrower? YesNo Who referred you to BenchMark Mortgage? Are you working with a real estate agent? YesNo Have you found a home you wish to purchase? YesNo What is your timeframe for purchasing a home?