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Loans
Please fill in this form completely. In order to serve you, we will be contacting you soon to complete the process.

Borrower's Information
Full Name
Date of Birth
SSN#
Residence Phone #
Business Phone #
Email Address
Present Address
Street:
City:
State:   Zip:
Years There ?
Do you currently? Own
Rent
Monthly Mortgage/Rent
Previous Address (If less than 2 years)
Street:
City:
State:   Zip:
Marital Status Married
Separated
Unmarried (Single/Divorced/Widowed)
Current Occupation
No. # of Years
Employer's Name
Employer's Address
Street:
City:
State:   Zip:
Previous Employer (If less than 2 years)
 
Co-Borrower's Information
Full Name
Date of Birth
SSN #
Residence Phone #
Business Phone #
Email Address
Address (Type same if same as Borrower)
Street:
City:
State:   Zip:
Years There?
Do you currently? Own
Rent
Monthly Mortgage/Rent Payment
Previous Address (If less than 2 years)
Street:
City:
State:   Zip:
Marital Status Married
Separated
Unmarried (Single/Divorced/Widowed)
Current Occupation
No # of Years
Employer's Name
Employer's Address
Street:
City:
State:   Zip:
Previous Employer (If less than 2 years)
 
Borrower's Income Information
Self-Employed? Yes
No
Monthly Base Salary $
Overtime $
Bonuses $
Commissions $
Dividends $
Net Rental Income $
Other, please specify source and amount.
Total Income for Borrower $
 
Co-Borrower's Income Information
Self-Employed? Yes
No
Monthly Base Salary $
Overtime $
Bonuses $
Commissions $
Dividends $
Net Rental Income $
Other, please specify source and amount.
Total Income for Co-Borrower
 
Combined Assets
Checking $
Name of Bank for Checking Account
Savings $
Name of Bank for Savings Account
Credit Union $
Name of Credit Union
Stocks value $
Bonds Value $
Life Insurance $

Present Residence (If Owned)
Estimated Market Value
Mortgage Balance $
Lender's Name
Other Assets (Please Specify)
 
Liabilities (Include both personal & lines of credit for both parties if applicable)
Car Payments $
Personal Loan Payments $
List All Credit Cards & Payments
Bankruptcy? Yes
No
If yes, Enter Discharge/Dismissed Date
Foreclosure? Yes
No
If yes, Enter Foreclosure Date
Additional Creditor Information (Please be specific and provide name, type and amount for each)
Other Obligations
Number of Dependents
 
Other Information.....
Are there any judgements or lawsuits present? Yes
No
If yes, please explain
How much money do you have saved towards the down payment $
Is any part of the down payment or settlement costs being obtained from a source other than from the assets listed above? Yes
No
If yes, please explain
Do you intend to occupy this property? Yes
No
 
I hereby give my consent to have my credit report secured from any credit reporting agency which you designate. Yes
No
 

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Call at (661) 726-0696

*Fees vary for homes over $100,000. Fees subject to change and some restrictions apply. Call for details. Commissions are not set by law. All commissions are negotiable. Any comparisons to a percentage commission, such as 6%, are for illustration and comparison purposes only. The information herein is deemed to be accurate, but not guaranteed. All information to be verified.

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