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Primary
Borrower Information
- Fill in as completely as possible to
insure the most accurate response. |
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Borrower Name:* |
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Email:* |
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Date of Birth
: |
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Social
Security Number: |
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Marital
Status: |
Married
Divorced
Single |
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Address:* |
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City, State,
Zip:* |
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Home Phone: |
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(Best way to
reach you) Phone:* |
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Child Support:
PAY RCV: If so Amt $: |
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Bankruptcy:
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Yes
No |
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Chapter 7/13 -
If so what year: |
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Self Employed? |
Yes
No |
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Employer: |
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Position/Title:
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How many years
on the job: |
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Work Phone: |
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Gross Annual
Income:
(before taxes) |
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Monthly
Expenses:
(loans, credit, child support,
omit rent & utilities) |
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Co-Borrower
Information
- If you will apply for this
loan with a second person, please fill these
fields in. |
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Co-Borrower Name: |
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Date of Birth
: |
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Social
Security Number: |
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Marital
Status: |
Married
Divorced
Single |
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Address: |
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City, State,
Zip: |
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Home Phone: |
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Cell Phone: |
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Child Support:
PAY RCV: If so Amt $: |
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Bankruptcy:
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Yes
No |
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Chapter 7/13 -
If so what year: |
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Self Employed? |
Yes
No |
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Employer:
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Position/Title:
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How many years
on the job: |
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Work Phone: |
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Gross Annual
Income:
(before taxes) |
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Monthly
Expenses:
(loans, credit, child support,
omit rent & utilities) |
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Loan
Information
- Please specify all the
details of this loan request. |
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Source of Down
Payment: |
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Amount Down $: |
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Account
Seasoning (2mo?): |
Yes
No |
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Gift,
Checking, Savings,
Equity from home sale, other: |
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Additional
Liquid Assets: (401K, Retirement, Stocks,
Mutual) $: |
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Home Purchase
Location : |
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Realtor name: |
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Realtor phone: |
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Monthly
Payment Range: |
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Taxes: |
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Insurance: |
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Escrow?: |
Yes
No |
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Home Owners
Insurance: |
Yes
No |
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Premium
Amount: |
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Loan Type
Desired: |
Fixed
Variable
Balloon |
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Do you plan to
sell:
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Yes
No |
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Pre-Approved: |
Yes
No |
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Are funds from
sale down payment: |
Yes
No |
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Need
Pre-Approval Letter: |
Yes
No |
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Do you have an
offer: |
Yes
No |
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Need Realtor
Referral: |
Yes
No |
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Renting/Lease: |
Renting
Lease |
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When do you
plan to buy?: |
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Current
Monthly Payment $: |
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Rent/Lease:
How long?
(need 1 yr. history): |
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LTV: |
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Pre-Approval
Amount $: |
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*required
field |
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