|
Borrower Information
|
First Name *
|
M. Last
Name *
|
Social Security Number * Age *
|
Home Phone *
|
Work Phone *
|
Email address
|
Address *
|
City
*
State * Zip*
|
Self Employed*
|
Employer *
|
Employer Address *
|
Postion
|
Gross Monthly Income*
$ |
Bank
Name * Account
Balance*
$ |
Bank
Name Account
Balance
$
|
| Co-Borrower
Information |
First Name
|
M. Last
Name
|
Social Security
Number Age
|
Employer
|
Employer Address
|
Postion
|
Gross Monthly Income
$ |
|
|
| Mortgage
Information |
Purpose of Loan *
|
Loan Program
|
Loan Amount *
$ |
Desired Loan Terms *
|
Market Value *
$ |
Mortgage Balance *
$ |
Number of Units *
|
Present Rate *
|
Monthly Mortgage Payment *
$ |
Annual Real Estate Taxes *
$ |
Annual Insurance *
$ |
|
| Property
Information |
Property Will Be
|
Purchase Price *
$ |
Appraisal Value
$
|
Total Down Payment *
$ |
Source of Down Payment:
|
Estimated Closing Time
|
Address *
|
City
*
State
*
Zip *
|
|
|
