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FULL APPLICATION

 

          Borrower Information
First Name: Middle Initial: Last Name:
Residence Address City State Zip Length at this address:
Months: Years:
Email Address Home Phone Work Phone Mobile Phone Best Time To Call
Relationship Status: SSN DOB (mm/dd/yyyy) Years In School:
Please complete a timeline of residences for the past 24 months:
Address City State Zip Length at this address: Status:
Months: Years:
Address City State Zip Length at this address: Status:
Months: Years:
Address City State Zip Length at this address: Status:
Months: Years:
Address City State Zip Length at this address: Status:
Months: Years:
          Co-Borrower Information
First Name: Middle Initial: Last Name:
Residence Address City State Zip Length at this address:
Months: Years:
Relationship Status: SSN DOB (mm/dd/yyyy) Years In School:
Please complete a timeline of residences for the past 24 months:
Address City State Zip Length at this address:
Months: Years:
Address City State Zip Length at this address:
Months: Years:
Address City State Zip Length at this address:
Months: Years:
Address City State Zip Length at this address:
Months: Years:
          Loan Desired
Loan Amount: $ OR LTV (loan-to-value): %
Loan Purpose:    
Interest Only Option?
YES NO
Negative Amortization Option?
YES NO
Adding/Removing someone from title?
YES NO
Special Escrow Instructions?
YES NO
Impound Account?
YES NO This means adding taxes & insurance.
          Current Financing Situation
Current 1st Balance: $
Current 2nd Balance: $
Do You Wish To Pay Off?
YES NO
Is There A Prepayment Penalty?
YES NO
          Subject Property
Property Address City State Zip
Property Type:  Number of Units: Property Use: Year Built:
Date Purchased(mm/dd/yyyy): Manner In Which Title Will Be Held:
Association?
YES NO
Association Dues: $
          Employment Information
Current Employer: Start Date: (MM/YYYY) Length in Months: Employment in Same Field:
(months)
Employer Address City State Zip
Title/Position: Work Phone Number: Monthly Income :
$
Supervisor Name: Supervisor Number:
ext:
Please complete a timeline of employers for the past 24 months:
Employer: Start Date: (MM/YYYY) End Date: (MM/YYYY) Length in Months: Employment in Same Field:
(months)
Employer Address City State Zip
Title/Position: Work Phone Number: Monthly Income :
$
Supervisor Name: Supervisor Number:
ext:
Employer: Start Date: (MM/YYYY) End Date: (MM/YYYY) Length in Months: Employment in Same Field:
(months)
Employer Address City State Zip
Title/Position: Work Phone Number: Monthly Income :
$
Supervisor Name: Supervisor Number:
ext:
Employer: Start Date: (MM/YYYY) End Date: (MM/YYYY) Length in Months: Employment in Same Field:
(months)
Employer Address City State Zip
Title/Position: Work Phone Number: Monthly Income :
$
Supervisor Name: Supervisor Number:
ext:
Employer: Start Date: (MM/YYYY) End Date: (MM/YYYY) Length in Months: Employment in Same Field:
(months)
Employer Address City State Zip
Title/Position: Work Phone Number: Monthly Income :
$
Supervisor Name: Supervisor Number:
ext:
Retirement Income:
YES NO Monthly Income: $
Pension:
YES NO Monthly Income: $
Military Pension:
YES NO Monthly Income: $
Disability:
YES NO Monthly Income: $
Collect Child Support/Alimony:
YES NO Monthly Income: $
          Assets
Cash Deposit Held By: Current Value:
$
Please list your bank accounts:
Bank Name: Account Type:
Bank Address City State Zip
Bank Name: Account Type:
Bank Address City State Zip
Bank Name: Account Type:
Bank Address City State Zip
Bank Name: Account Type:
Bank Address City State Zip
Stocks / Bonds / Mutual Funds:
Company Name: Current Value: $
Company Name: Current Value: $
Company Name: Current Value: $
Company Name: Current Value: $
Vested Interest In Retirement Fund: $
          Schedule of Real Estate
Estimated Property Value Property Type Property Use
Property Address City State Zip
Loan Payments (exlcuding taxes & insurance) $ Net Rental Income $
Taxes, Insurance, Association Dues, Mortgage Insurance: $
          Declarations
Bankruptcy within last 7 years?
YES NO
Foreclosure within last 7 years?
YES NO
Are you presently delinquent on any federal debt?
YES NO
Are you obligated to pay child support / alimony?
YES NO
Are you a U.S. Citizen?
YES NO
Are you a permanent Resident Alien?
YES NO
          Patriot Act
 


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