Loan Application

BORROWER INFORMATION

Borrower Name: Social Security Number:

Home Phone Number: Work Phone Number: Date of Birth:

Married Single Seperated

Present Address: City: State: Zipcode:

Own

Rent

Number of Years:

How Do You Rate Your Credit History:

Excellent

Good

Issues

Explain Issues:

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CO-BORROWER INFORMATION

Co-Borrower Name: Social Security Number:

Home Phone Number: Work Phone Number: Date of Birth:

Married Single Seperated

Present Address: City: State: Zipcode:

Own

Rent

Number of Years:

How Do You Rate Your Credit History:

Excellent

Good

Issues

Explain Issues:

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Purpose of the Loan: Purchase Refinance Construction

Property will be: Primary Residence Secondary Home Investment Property

Type of loan requested: Conventional FHA VA

Loan Amount Requested:

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MONTHLY INCOME:	BORROWER:	CO-BORROWER:
Base Employment Income:
Overtime:
Bonuses:
Commissions:
Other:

Explain Other:

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Combine Monthly Obligations (Borrower & Co-Borrower):

Rent Payment:
Mortgage Payments:
Total Credit Card Payments:
Other Payments:

Explain Other Payments:

Borrower Self-employed: Yes
Co-Borrower Self-employed: Yes

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If this line is checked - Borrower & Co-Bowrrower acknowledge lender's right to use this information to pre-qualify them for the type of loan stated above & authorize lender to secure their credit report(s).

Run my(our) credit report(s): Yes No

Email Address(Required):

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