Purchase: choose one:
Estimate Purchase Price: $
Estimate Down Payment: $
Estimated Loan Amount: $
Loan Term:
(Choose One: 30 years fixed, 25, 20, 15, or 10 years Fixed or 5, 7 or 10 ARM)
Borrower(s) Information:
Borrower A
Borrower B
Name: First, Initial, Last:
Current Address:
(Provide former address if present address is less than two years)
Former Address:
own; rent
No of Years
Social Security Number:
Date of Birth:
Marital Status (Married, Unmarried, Separated)
Home Phone or Cell Phone Number
Email Address:
Number of Dependents & Ages
Employment: Needed 2 years of Employment History, Starting With the Most Current
Company Name:
Company Address:
Job Position/Title:
Total Annual Income: $
Started Date:
Ended Date:
Number of Years in This Line of Business:
Self Employed:
Number of Year(s) in Business:
Please Notice: Self-Employed borrower(s) must be in business for two consecutive years by lender's regulation.
Assets:
- Checking - Balance:
- Savings - Balance:
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