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I. Type of Mortgage and Term of Loan
*Loan Program:
*Loan Term:
*Loan Type:
*Desired Interest Rate:
*Loan Amount:
*Down Payment:
II. Property Information
*Property Address:
*City:
.*State.......Zip.:......
...
Property will be:
Type of Dwelling:

III. Borrower Information

Borrower

Co-Borrower

*Full Name:

*Address:

*City, *State, *Zip:

,

,

*Home Phone:

Work Phone:

*E-mail:

Social Security Number:

IV. Employment Information

Borrower

Co-Borrower

*Employer's Name:

*Employer's Address:

*City, *State Zip:

,

,

*Self Employed:

*Years at this job:

*Years in this line of work:

V. Monthly Income and Housing Expense Information

Borrower
Co-Borrower

*Base Salary:

Overtime:

Bonuses:

Commissions:

Other Income:

*Rent/1st Mortgage(P&I):
2nd Mortgage (P&I):
Mortgage Insurance:
Homeowners Insurance:
Real Estate Taxes:
Homeowner Assn. Dues:
VI. Assets & Liabilities

Assetts

Account Type:
Bank/Firm Name:
City:, State:
,
Balance:
Account Type:
Bank/Firm Name:
City:, State:
,
Balance:
Account Type:
Bank/Firm Name:
City:, State:
,
Balance:
Account Type:
Bank/Firm Name:
City:, State:
,
Balance:

Liabilities
Account Name:
Montly Payment:
Account Balance:
Account Name:
Montly Payment:
Account Balance:
Account Name:
Montly Payment:
Account Balance:
Account Name:
Montly Payment:
Account Balance:
Account Name:
Montly Payment:
Account Balance:
Account Name:
Montly Payment:
Account Balance:


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