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Basic Information |
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Borrower #1 - First Name:* |
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Middle Initial: |
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Last Name:* |
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Borrower #2 - First Name: |
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Middle Initial: |
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Last Name: |
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Address |
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Street Address:* |
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City:* |
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State:* |
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Zip Code:* |
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Home Phone:* |
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Work Phone:* |
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E-mail Address:* |
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How do you wish to be contacted?* |
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Basic Loan Information |
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Please select the type of loan you want:* |
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What loan amount are you requesting?* |
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What term are you applying for?* |
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Please select an amortization type:* |
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Please enter the approximate value or purchase price:* |
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How do you intend to occupy this property?* |
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Please select the property type:* |
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What cities would you like to live in? |
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Number of bedrooms: |
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Number of bathrooms: |
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Price: |
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| Basic Income/Debt Info |
| Gross Monthly Income (before taxes):* |
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| Are You Self-Employed:* |
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| Co-borrower: |
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| Occupation:* |
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| Monthly Automobile Payment(1): |
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| Present Balance: |
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| Monthly Automobile Payment(2): |
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| Present Balance: |
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| Total Monthly Credit Card Payments:* |
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| Total of All Balances: |
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| Total Monthly Child Support/Alimony Payment:* |
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| Total Student Loan Payments:* |
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| Total Alimony/Child Support: |
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| Any Other Debts? |
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| Please Describe: |
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| DOWN PAYMENT INFO:* |
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| Down Payment Amount: |
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| Assets Stocks/Bonds: |
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| 401 - Retirement: |
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| Gift From Relatives: |
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| Other: |
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| Miscellaneous |
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| Are You Renting? |
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| If so, how much: |
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| Do You Have: |
Overtime
Commission
Bonus |
| Describe Any Credit Problems You Have: |
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| Comments: |
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