| Property
Information and Purpose of Loan |
Subject Property
Address (street, city, state, ZIP):
Type of Mortgage:
VA
FHA
Conventional
Other (explain):
Purpose of Loan:
Purchase
Refinance
Equity Line
Commercial
Other (explain):
|
| Borrower
Information |
Borrower's Name (incl.
Jr. or Sr. if applicable):
Social Security Number:
Home Phone (incl. area code):
Age:
Yrs. School:
Marital Status:
Married
Seperated
Divorced
Dependents - number:
ages:
Present Address:
Own
Rent No. Yrs:
If residing at current address less than two years,
complete the following:
Former Address:
Own
Rent No. Yrs:
|
| Employer
Information |
Name & Address
of Employer:
Self Employed
Yrs. on this job:
Yrs. employed in this line of work/profession:
Position/Title/Type of Business:
Business Phone (incl. area code):
If employed in current position less than two years
or if currently employed in more than one position, complete
the following:
Name & Address of Employer:
Self Employed
Dates (from - to):
Monthly Income: $
Position/Title/Type of Business:
Business Phone (incl. area code):
|
| Income
and Combined Housing Expense Information |
Gross Monthly Income
Borrower:
Co-Borrower:
Combined Monthly Housing Expense
Present Rent:
First Mortgage (P&I)
Present:
Proposed:
Other Financing (P&I)
Present:
Proposed:
|
| Credit
Report Authorization |
In order to best
serve you, can we retrieve your credit history?
Yes
No
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