Borrower Information

Veteran Yes NO

Name

First Middle Last

SS# -- (optional)

Phone# (Hm) -- Phone# (Cell) --

Present Address

Street Apt#

City State Zip Code Own Rent

If Renting How Long 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years Other

If Other please specify:

Name of Landlord

First Last

Address

Street Apt#

City State Zip Code

Phone# --

Employment Information

Self Employed

First Middle Last

Address

Street

City State Zip Code

Business Phone -- ext.

Years on the Job Years in this line of work

Position/Title

Monthly Income

Base Income

Other Income

(Child support, rental income, etc.)

Monthly Gross Income

Credit Issues

Are you aware of any credit issues/poblems, which may affect the mortgage process? Explain.

Would you like me to provide you with a pre-approval letter?

Yes NO

Comments:

Co-Borrower Information

Veteran Yes NO

Name

First Middle Last

SS# -- (optional)

Phone# (Hm) -- Phone# (Cell) --

Present Address

Street Apt#

City State Zip Code Own Rent

If Renting How Long 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years Other

If Other please specify:

Name of Landlord

First Last

Address

Street Apt#

City State Zip Code

Phone# --

Employment Information

Self Employed

First Middle Last

Address

Street

City State Zip Code

Business Phone -- ext.

Years on the Job Years in this line of work

Position/Title

Monthly Income

Base Income

Other Income

(Child support, rental income, etc.)

Monthly Gross Income

Credit Issues

Are you aware of any credit issues/poblems, which may affect the mortgage process? Explain.

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