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PLEASE FILL OU

   

How did you find our Web Site?

  

Please Rate Your Credit

  

What is Your Credit Score?

  

Purpose of Loan

  

Purpose of Property

  

Borrower's Name

  

Type of Property

 

Approximate Date Built (Year)

  

        Property Address 

  (Property to be Purchased Or Refinanced )

Property Address Line 1

 

Property Address Line 2

 

City, State, Zip

 

 Estimated Property Value ($)

  

Loan Amount ($)

 

Length of Loan (years)

  

Loan Type

  

Expected Interest Rate

  %

   
    

                                                            Borrower               Co-borrower

First Name    

Last Name    

Social Security Number  

Home Phone (with area code)  

Cell Phone (with area code)

Work Phone (with area code)  

Birthdates mm/dd/yr   

E-mail address  

Present Address

                                           Borrower                      Co Borrower

Present Address  

  

Present Address Line 2   

  

City, State, Zip

  

Rent or Own?

        

No. of Years at Residence

   

Previous Address

If Less Than Two Years at Current Residence, Please complete the Following Previous Address Form

Previous Address

 

Previous Address Line 2

City, State, Zip

Rent or Own?

        

No. of Years at Residence

   
   

Current Employment

                                            Borrower                  Co-Borrower

Employer Name    
Employer Address    

City, State, Zip

  

Job Title    

Years at current job 

     

Years in same work/profession

      

Are you self employed?

      

   Previous Employment

Complete this Section if Employed less than Two years on Current Job

      Borrower                      Co-Borrower

Former Employer Name    
Former Employer Address    

City, State, Zip

  

Former Employer Phone    

Monthly Income- Previous Job

Date Started Previous Job 

     (Start Date)   (Start Date)

Date Ended Previous Job 

     (End Date)   (End Date)

Previous Job Title 

      

Were you self employed?

      
   

All Regular Loan Payments (Credit Cards, Car Loans, Etc.)

Please EXCLUDE rent, or current house payment!!

                                           Borrower                       Co-Borrower

Total Monthly Payments * 

      

 

Funds available for down payment, closings costs and reserves (in $)*

* = Estimated

Income

Gross Monthly Income         Borrower       Co-Borrower

Base Employment Income

Commissions

Overtime

Bonuses

Child support Income

Net Rental Income

Other*

*Self Employed Borrower(s) may be required to provide additional documentation.
**Alimony, child support, or separate maintenance income need not be revealed if the Borrower(s) or Co-Borrower(s) does not choose to have it considered.

Borrower Comments or Questions

Co-Borrower Comments or Questions

   
 
 
Make sure this information is correct before you click submit
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