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Complete Application
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Borrower Information
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** Required
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** Borrower (First, MI, Last, Jr. Sr. Etc...)
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Address
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** Home Phone
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** Work Phone
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City, State, Zip
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D.O.B
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** E-mail Address
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Social Security Number
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If You Don't Wish To Supply Your S.S Number Please Estimate Your Credit Score
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POOR 450 - 569
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EXCELLENT score 720 - 850
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FAIR score 620 - 679
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Don't Know
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POOR score 570 - 619
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GOOD score 680 - 719
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Employment Information
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Borrower's Employer Name
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Title / Position
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Address
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How Long With Employer
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Yr's
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Months
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Gross Monthly Income
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City, State, Zip
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Self Employed?
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Additional Income (child support, S.S, etc.)
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Yes
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No
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Co- Borrower's Information
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Borrower (First, MI, Last, Jr. Sr. Etc...)
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Address
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City, State, Zip
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Home Phone
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Work Phone
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D.O.B
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Social Security Number
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If You Don't Wish To Supply Your S.S Number Please Estimate Your Credit Score
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POOR 450 - 569
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EXCELLENT score 720 - 850
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FAIR score 620 - 679
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Don't Know
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POOR score 570 - 619
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GOOD score 680 - 719
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Co- Borrower's Employment Information
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Co - Borrower's Employer Name
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Title / Position
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Address
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Length With Employer
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Yr's
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Months
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Gross Monthly Income
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City, State, Zip
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Self Employed?
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Additional Income (child support, S.S, etc.)
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Yes
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No
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Monthly Expenses For Borrower and Co-Borrower
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Rent / Mortgage
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Car Payment(s)
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Only payments that would appear
on your credit report no utility, gas,
electric payments, etc.
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Min. Credit Card Payments
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Other
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Loan Information
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Purchase Price
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Down Payment
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Purchase
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Est. Closing Date
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Subject Property Address
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City, State, Zip
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Refinance
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Estimated Value
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Existing Loan Amount
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New Loan Amount Requested
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Type Of Property (click box)
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SINGLE FAMILY /TOWN HOUSE
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MANUFACTURED
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MIXED USE
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CONDO
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LOT
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CO-OP
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2 UNITS
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3 TO 4 UNITS
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CONSTRUCTION
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5 PLUS UNITS
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How will The Property Be Used (click box)
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INVESTMENT
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PRIMARY RESIDENCE
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SECOND HOME
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What Type Of Loan Are You Interest In? - click box(s)
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Government Loans
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FIXED RATE
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40yr
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20YR
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30YR
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15YR
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10YR
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FHA LOAN
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ADJUSTABLE RATE(ARM)
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1-3YR
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5YR
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7YR
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INTEREST ONLY LOAN
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VA LOAN
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PAY OPTION ARM
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HUD/REHAB
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NO INCOME VERIFICATION
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NO DOC LOAN
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Declarations
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Bankruptcy In The Last 7yrs?
If So When Was It Discharged?
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Can You Document
Your Income?
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Are You A First Time
Buyer?
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Yes
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No
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Yes
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No
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Yes
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No
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Any information that can
assist with a more accurate
quote is requested:
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*By Providing a Social Security Number you give us permission to run your credit.
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